PDCA管理模式在内科静脉留置针输液管理中的效果分析

Application of PDCA management mode in the safety of intravenous indwelling needle in Department of Internal Medicine

目的:探讨PDCA管理模式在内科静脉留置针输液安全管理中的应用效果。方法:将采用静脉留置针输液的1312例患者采用随机数字表法分为对照组(n=656)和观察组(n=656),对照组采用常规管理,观察组实施PDCA循环管理模式。结果:观察组患者静脉留置针的留置时间明显高于对照组(P<0.05)。观察组敷贴固定不规范率和管道维护不规范率明显低于对照组(P<0.05)。观察组患者静脉留置针期间堵管、意外脱管、外渗和静脉炎的发生率显著低于对照组(P<0.05)。结论:内科静脉留置针输液安全管理中实施PDCA循环管理模式,能有效延长留置时间,提高留置针的护理质量,减少并发症发生。

Objective:To explore the application effect of PDCA management mode in the safety management of intravenous indwelling needle in Department of internal medicine.Methods:1312 cases infused through intravenous catheter were randomly assigned into control group with routine management(n=656) and observation group with PDCA cycle management mode(n=656).Results:The indwelling time of intravenous indwelling needle in observation group was significantly higher than that in control group(P<0.05). In observation group, the rate of non-standard fixation and irregularity of the pipeline maintenance were significantly lower than those of the control group(P<0.05).The incidences of occlusion, accidental detachment, extravasation and phlebitis in observation group were significantly lower than those in control group(P<0.05).Conclusion:PDCA cycle mode in safety management of intravenous catheter infusion can effectively prolong the retention time, improve the nursing quality of indwelling needle and reduce complications.