PDCA护理管理应用于PICC置管护理中的效果评价

Effect Evaluation of PDCA Nursing Management in PICC Catheterization Nursing

目的探讨PDCA循环管理在经外周静脉置入中心静脉导管(peripherally inserted central catheters,PICC)应用价值。方法2016年1—12月PDCA循环管理前常规护理PICC患者130例,2017年1—12月实施PDCA循环管理PICC患者140例,比较两组导管留置时间、感染及非感染并发症、患者满意差异。结果PDCA管理组导管留置时间(132.67±22.34)d、护理满意98.57%高于常规护理组的(106.35±18.34)d、92.31%(P<0.05);感染并发症1.42%、非感染并发症2.14%低于常规护理组的6.92%、9.23%(P<0.05)。结论对于PICC置管患者行PDCA护理管理,不仅能够减少并发症的发生,还能够在一定程度上延长留置导管时间,提高患者满意度。

Objective To explore the application value of PDCA circulation management in peripherally inserted central catheters(PICC). Methods From January to December 2016, 130 PICC patients received routine nursing before PDCA cycle management. From January to December 2017, 140 patients with PICC received PDCA circulation management. The catheter indwelling time, infection and non-infection complications, and patient satisfaction were compared between the two groups. Results In the PDCA management group, catheter retention time was(132.67±22.34)days, satisfaction rate of nursing was 98.57%,which were higher than those of routine nursing group(106.35±18.34)days and 92.31%(P<0.05). The complications of infection was 1.42%, non-infectious complications was 2.14%, which were lower than those of the routine nursing group 6.92% and 9.23%(P <0.05). Conclusion PDCA nursing management for PICC catheter patients can not only reduce the occurrence of complications, but also prolong the catheter indwelling time to a certain extent and improve patient satisfaction.