PDCA护理管理对PICC置管患者并发症预防及护理满意度的影响

The effect of PDCA nursing management on the prevention of complications and nursing satisfaction of patients with PICC catheterization

目的分析PDCA护理管理对PICC置管患者并发症预防及护理满意度的影响。方法选择2015年10月至2016年12月在清华大学附属医院进行治疗的PICC置管患者180例作为研究对象,根据随机数表法将所选患者分为观察组和对照组,每组90例。观察组患者应用PDCA护理管理,对照组患者应用传统护理管理。比较两组患者的置管一次性成功率、并发症发生率、护理质量评分及满意度。结果观察组患者的置管一次性成功率(91.11%)高于对照组患者(76.67%),差异有统计学意义(P<0.05);观察组患者经PDCA护理后的总并发症发生率(7.78%)低于对照组患者(34.45%),差异有统计学意义(P<0.05);观察组患者在基础护理、健康教育、护理沟通、置管护理方面的护理评分分别为(98.32±2.21、97.24±1.07、98.15±1.31、96.29±3.25)分高于对照组患者(91.69±2.07、90.52±1.49、90.64±1.67、87.08±4.84),差异有统计学意义(P<0.05);观察组患者对护理的满意程度(97.78%)高于对照组患者(83.33%),两组患者之间的比较差异有统计学意义(P<0.05)。结论对于PICC置管患者,PDCA护理管理可提高置管一次性成功率,减少各项并发症的发生,提高护理质量评分和护理满意度,建议在临床PICC置管中推广应用。

Objective To analyze the effect of PDCA nursing management on the prevention of complications and nursing satisfaction of patients with PICC catheterization.Methods 180 patients with PICC catheterization who were treated in our hospital from October 2015 to December 2016 were selected as the subjects.They were divided into observation group and control group according to the random number table method.Patients in the observation group were treated with PDCA nursing management and the other group were treated with traditional nursing management.The success rate,complication rate,nursing quality score and satisfaction were compared between the two groups.Results One-time success rate of catheterization in the observation group(91.11%)were higher than those in the control group(76.67%),the difference between the two groups was statistically significant(P<0.05).The incidence of total complications after PDCA care in the observation group(7.78%)were lower than those in the control group(34.44%).There was significant difference between the two groups(P<0.05).Compared with the control group,The score of basic nursing,health education and nursing communication catheter-care were 98.32±2.21,97.24±1.07,98.15±1.31 and 96.29±3.25 in the observation group,which were higher than the control group(83.33%),and the difference between the two groups was statistically significant(P<0.05).The degree of satisfaction(97.77%)was significantly higher in the observation group than in the control group(83.33%)(P<0.05).Conclusions PDCA care management is effective on patients with PICC catheterization by reducing the incidence of complications,improving one-time success rate,nursing quality score and nursing satisfaction.It is recommended to be used in clinical PICC catheterization.