PDCA护理管理对白血病患者PICC护理效果影响观察

Observation on the Effect of PDCA Nursing Management on PICC Nursing of Leukemia Patients

目的:探讨分析PDCA护理管理对白血病患者PICC护理效果的影响。方法:选取2015年12月-2016年12月在笔者所在医院接受治疗的80例白血病患者进行研究,将所有患者随机分为试验组和对照组,每组40例,对照组予以常规护理,试验组予以PDCA护理管理,对两组患者导管留置时间、护理质量评分以及并发症发生率进行比较分析。结果:试验组患者导管留置时间明显短于对照组,并发症发生率明显低于对照组,护理质量各项评分均明显高于对照组,比较差异均有统计学意义(t=11.587、14.333、16.683、14.128、23.888,X^2=6.646,P<0.05)。结论:白血病患者在PICC置管过程中给予PDCA护理管理可有效提高一次穿刺成功率,降低并发症以及穿刺失败为患者带来的痛苦,还可延长置管时间,提高患者生活质量,值得临床推广应用。

Objective：To investigate the effect of PDCA nursing management on PICC nursing of leukemia patients.Method：From December 2015 to December 2016,80 cases of leukemia patients in our hospital were studied.All patients were randomly divided into experimental group and control group,40 cases in each group.The control group was given routine nursing,the experimental group was given PDCA nursing management,the catheter indwelling time,nursing quality score and the occurrence rate of complications in two groups were compared.Result：The catheter indwelling time in the experimental group was significantly shorter than that in the control group,the complication rate was significantly lower than that in the control group,and the scores of nursing quality were significantly higher than those in the control group,the differences were statistically significant（t=11.587,14.333,16.683,14.128,23.888,X2=6.646,P〈0.05）.Conclusion：PDCA nursing management of patients with leukemia during PICC catheterization can effectively improve the success rate of puncture,reduce pain and complications of puncture failure,also can prolong the catheter indwelling time and improve patient quality of life,is worthy of clinical application.