运用PDCA循环法提高血液透析护士对内瘘疑难问题的处理能力

Application of PDCA circulation in nurse training to improve nurses' ability on maintenance hemodialysis fistula

目的探讨PDCA循环法应用于血液透析护士对内瘘有效维护的培训效果。方法应用PDCA循环法对某三级甲等综合医院的30名血液透析护士进行强化常规内瘘护理与解决内瘘疑难问题能力培训,对培训前后护士内瘘护理知识与技能进行比较。结果经培训的血液透析护士理论与技能考核成绩均有提高(理论知识:t=5.32,P<0.01;操作成绩:t=4.35,P<0.01),培训有助于减少内瘘阻塞发生率(P<0.001)、皮下血肿发生率(P<0.01)、感染发生率(P<0.01);同时能够显著提高患者对于医护人员护理满意度(P<0.01)。结论运用PDCA循环法提高血液透析护士对内瘘疑难问题的处理能力,确保血液透析护士的内瘘维护培训质量。

Objective To evaluate the effect of PDCA circulation on improving nurses＇ ability on maintenance hemodialysis fistula in nurse training. Methods Thirty hemodialysis nurses received training on fistula care based on PDCA circulation. Their knowledge and skills on fistula care were compared before and after training. Results After training,nurses＇ knowledge and skills on fistula care were improved significantly （P〈0.01）. The incidence of fistula hematoma and infection decreased significantly （P〈0.01）. Moreover,patient satisfaction increased significantly （P〈0.01）. Conclusion The application of PDCA circulation in nurse training can improve nurses＇ ability to cope with the problems in fistula care and ensure the quality of nurse training.