戴明环法在提高小儿头皮静脉输液滴速准确率中的作用

The role of deming circulatory method in improving the accuracy of drip rate of scalp intravenous infants

目的探讨戴明环法(PDCA循环法)在提高小儿头皮静脉输液滴速准确率中的作用。方法选取2017年1~10月我院进行头皮静脉输液治疗的260例患儿为研究对象,其中2017年1~5月PDCA循环法运用前的120例患儿设为对照组,2017年6~10月PDCA循环法应用后的140例患儿设为观察组。观察比较两组患儿头皮静脉输液滴速中存在的缺陷及滴速准确率。结果观察组小儿头皮静脉输液滴速中存在的缺陷显著少于对照组,差异有统计学意义(P<0.05);观察组小儿头皮静脉输液滴速准确率为94.29%(132/140),明显高于对照组的66.67%(80/120),差异有统计学意义(χ2=32.743,P<0.05)。结论应用PDCA循环法对小儿头皮静脉输液进行护理,能有效减少输液滴速的缺陷,明显提高小儿头皮静脉输液滴速的准确率。

Objective To explore the role of Deming Central Loop（PDCA） method in improving the accuracy of drip rate of infantile scalp intravenous infusion.Methosds From January to October in 2017,260 cases of scalp venous transfusion in our hospital were selected as the research object.From January to May in 2017,120 children before PDCA cycle method was used were set as control group,and 140 children were after PDCA cycle method was used from June to October in 2017 set as observation group.The defects and accuracy of scalp intravenous infusion dripping rate were observed and compared between the two groups.Results The observation group had fewer defects than the control group,and the difference was statistically significant（P〈0.05）.The accuracy rate of scalp intravenous infusion was 94.29%（132/140） in the observation group, which was significantly higher than 66.67 %（80/120） in the control group,and the difference was statistically significant（χ^2=32.743,P〈0.05）.Conclusion The use of PDCA cycle in the treatment of scalp intravenous infusion of children,can effectively reduce the infusion rate of infusion defects,significantly improve the scalp intravenous infusion rate accuracy.