PDCA循环在减少有创动脉血压监测患儿非计划性拔管中的应用

Application of PDCA cycle on reducing unplanned extubation of invasive arterial blood pressure monitoring in child patients

目的：探讨应用PDCA循环降低有创动脉血压监测患儿非计划性拔管（ UEX）发生率的效果。方法运用PDCA循环对2013年有创动脉血压监测拔管情况进行统计,分析UEX发生的原因,设定改进目标,制定对策并组织实施,比较分析改进的效果。结果 PDCA循环管理方法实施后,观察组动脉留置导管的UEX发生率为4.55%,低于对照组的15.45%,差异有统计学意义（χ2=6.62,P〈0.05）；观察组患儿住院天数为（22.98±2.53）d,低于对照组的（22.98±2.53）d,差异有统计学意义（t=12.846, P〈0.05）。观察组住院费用为（5849.71±252.80）元,比对照组的（6991.1±237.1）元低,差异有统计学意义（t=34.631,P〈0.05）。结论运用PDCA护理模式可预防和控制有创动脉血压监测患儿的UEX发生率,规范了护理操作,提高了护理管理的水平,是有效的管理方法。

Objective To explore the application of PDCA cycle on reducing unplanned extubation （ UEX） incidence of invasive arterial blood pressure monitoring in child patients. Methods The PDCA cycle had been used to documented the UEX status of invasive arterial blood pressure monitoring in 2013, analyses the reason of UEX, set improvement goals, formulate measures, organize and implement the strategy, and compared and analyses the improved effect. Results After the introduction of PDCA cycle management approach, the experimental group of arterial indwelling catheter UEX rate （4. 5%） was lower than that of the observation group （15. 45%） （χ2 =6. 62,P 〈0. 05）; for children of experimental group, the length of hospitalization was （22. 98 ± 2. 53） d, which was lower than that of the control group （22. 98 ± 2. 53） d （t=12. 846,P〈0. 05）, the expenditure of hospitalization of the control group （6 991. 1 ± 237. 1） yuan was higher than that observation group（5849.71±252.80） yuan（t=34.631,P〈0.05）.Conclusions ThePDCAnursingcanpreventand control the UEX rate of invasive arterial blood pressure monitoring standardize nursing operation, and improve nursing management level.