持续质量改进对血液肿瘤患者PICC置管后上肢静脉血栓防控的效果

Effect of continuous quality improvement on prevention and control of upper limb venous thrombosis after PICC catheterization in patients with hematological tumors

目的探讨持续质量改进对血液肿瘤患者PICC置管后上肢静脉血栓防控的效果。方法选取2019年3—11月我院血液科收治的118例因血液肿瘤需PICC置管的患者为研究对象,2019年8月起实施质量改进,2019年3—7月60例患者为实施前,2019年8—11月58例患者为实施后。比较实施前后PICC置管后相关上肢静脉血栓形成率及满意度。结果实施后患者PICC置管后上肢静脉血栓形成率低于实施前,患者对护理工作满意度高于实施前,差异有统计学意义(P<0.05)。结论持续质量改进应用于血液肿瘤患者PICC置管后上肢静脉血栓防控,可有效降低其上肢静脉血栓发生率,改善护理结局,提高护理满意度。

Objective To explore the effect of continuous quality improvement on prevention and control of upper limb venous thrombosis after PICC catheterization in patients with hematological tumors.Methods To select 118 cases of patients who needed PICC catheterization due to hematological tumors admitted to the department of hematology in our hospital from March to November 2019 as the study objects,and the quality improvement has been implemented in August 2019,of which 60 cases of patients from March to July 2019 are set as before implementation,and from August to November 2019,the other 58 cases of patients were set as after implementation.The rate and satisfaction of the related upper limb venous thrombosis after PICC catheterization were compared before and after implementation.Results The rate of venous thrombosis in the upper limbs after PICC catheterization was lower than that before the implementation,the satisfaction of patients with nursing work was higher than that before the implementation,and the differences were statistically significant(P<0.05).Conclusion The application of continuous quality improvement in the prevention and control of upper limb venous thrombosis in patients with hematological tumors after PICC catheterization can effectively reduce the incidence rate of upper limb venous thrombosis and improve nursing outcomes and nursing satisfaction.