PDCA循环法在PICC护理安全中的应用

Application of PDCA Circulation Method in PICC Nursing Safety

目的:分析PICC护理安全管理中采用PDCA循环法的临床效果。方法:选取2017年1月-2018年12月在笔者所在医院就诊的110例PICC静脉输液治疗患者,根据随机抽签法将所有患者分为试验组(55例,采用PDCA循环法)和对照组(55例,实施常规护理),对比分析两组患者置管相关并发症发生率及患者对护理服务满意度。结果:试验组导管滑脱、导管堵塞、血管炎症及感染等并发症发生率为21.8%,显著低于对照组的63.6%,差异有统计学意义(χ^2=16.228,P<0.05)。试验组护理服务满意度(98.18%)高于对照组(81.82%),差异有统计学意义(χ^2=4.660,P<0.05)。结论:PICC护理安全中应用PDCA循环法的效果理想,有利于降低患者PICC置管相关并发症发生率,提高PICC护理安全及护理质量,值得广泛推广应用。

Objective:To analyze the clinical effect of PDCA cycle in PICC nursing safety management.Method:A total of 110 PICC patients treated by intravenous infusion in our hospital from January 2017 to December 2018 were selected.All patients were divided into experimental group(55 cases,using PDCA circulation method) and control group(55 cases,carrying out routine nursing).The incidence of complications related to catheterization and patients’ satisfaction with nursing service were compared and analyzed between the two groups.Result:The incidence of complications such as catheter slippage,catheter blockage,vascular inflammation and infection in the experimental group was 21.8%,significantly lower than 63.6% in the control group,the difference was statistically significant( χ^2=16.228,P<0.05).The satisfaction rate of the nursing service of the experimental group was 98.18%%,significantly higher than 81.82% of the control group,the difference was statistically significant( χ^2=4.660,P<0.05).Conclusion:PDCA circulation method is effective in PICC nursing safety,which can reduce the incidence of complications related to PICC catheterization and improve the nursing safety and quality of PICC.It is worth popularizing and applying widely.