PDCA循环管理在预防维持性血液透析患者导管相关性血流感染中的应用

Application of PDCA circulation management model to the prevention of catheter-related bloodstream infections in maintenance hemodialysis patients

目的:探讨运用PDCA循环管理方法以降低血液透析患者中心静脉导管相关性血流感染率的效果。方法:将PDCA循环管理实施前的89例维持性血液透析患者设为对照组,PDCA循环管理实施后的91例维持性血液透析患者设为研究组,比较两组患者导管相关性血流感染率(CRBSI)的发生情况及护理舒适满意度。结果:实施PDCA循环管理活动后,研究组导管相关性血流感染率及护理舒适满意度均高于对照组,差异有统计学意义(P<0.05)。结论:PDCA循环管理在预防透析患者导管相关性血流感染的应用中,可降低导管相关性血流感染发生率,提高患者舒适度。

Objective:To investigate the effect of PDCA cycle management model on reducing central venous catheter-related bloodstream infection(CRBSI)rate in hemodialysis patients.Methods:89 maintenance hemodialysis patients before implementing PDCA cycle management were selected as the control group,while 91 cases maintenance hemodialysis patients after implementing PDCA cycle management were set as the study group.Then the incidence of CRBSI and nursing comfort satisfaction were compared between the two groups.Results:After the implementation of PDCA cycle management,the incidence of CRBSI and nursing comfort satisfaction in the study group was higher than that of the control group,which was of statistical difference(P<0.05).Conclusion:The application of PDCA cycle management can reduce the incidence of CRBSI and improve the comfort satisfactory in hemodialysis patients.