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 in non planned extubation in children with invasive arterial blood pressure monitoring

目的 分析和探讨PDCA循环在减少有创动脉血压监测（IBPM）患儿非计划性拔管（UEX）中的应用方法和效果.方法 选择从2015年5月至2016年4月在本院儿童监护病房接受动脉置管的IBPM 患儿140例,采用随机数字表法分成观察组和对照组,每组各70例.对照组行常规护理,观察组行PDCA循环护理.对两组的UEX发生率、住院费用、住院时间进行观察和对比.结果 观察组U EX发生率为5.29%,显著低于对照组的15.71%,比较差异具有统计学意义（χ2 =6.73,P〈0.05）.观察组住院费用、住院时间分别为（5860.82 ± 263.91）元、（23.09 ± 2.64）d,显著低于对照组的（7002.21 ± 248.21）元、（27.98 ± 3.12）d,比较差异均具有统计学意义（P〈0.05）.结论 对于IBPM患儿应用PDCA循环进行护理,可显著降低 UEX,同时还能降低患儿家庭的经济负担,具有较高的应用价值.

Objective To analyze and discuss the application and effect of PDCA cycle in reducing unplanned extubation （UEX） in children with invasive arterial blood pressure monitoring （IBPM）.Methods 140 patients with IBPM who received catheterization in our hospital were randomly divided into observation group and control group,each group with a total of 70 cases.The control group received routine nursing care,and the observation group received PDCA cycle nursing.The incidence of UEX,hospitalization costs and length of stay were observed and compared between the two groups.Results The incidence of UEX in the observation group was 5.29%,which was significantly lower than that in the control group,and the difference was statistically significant be-tween the two groups （χ2 =6.73,P〈0.05）.The hospitalization cost and hospitalization time of the observation group were signifi-cantly lower than those of the control group（P〈0.05）.Conclusion For IBPM children with PDCA cycle nursing,can significantly reduce the UEX,but also can reduce the economic burden of the family,has a high application value.