以护理敏感质量指标为指引的CQI管理在降低PICC并发症中的应用

Application of CQI Management Guided by Nursing Sensitive Quality Indicators in Reducing PICC Complications

目的探讨以护理敏感质量指标为指引的CQI管理在降低PICC并发症中的应用影响。方法采用便利抽样法将2022年3月~2022年11月江苏省泰州市第四人民医院肿瘤科收治的110例带PICC导管的肿瘤患者作为对照组;将2022年12月~2023年7月收治的110例带PICC导管的肿瘤患者作为观察组,对照组实施常规护理,观察组在常规护理基础上采用CQI模式。比较两组患者PICC各项并发症的实际发生率,护理人员对PICC导管相关理论的掌握情况和实操技能的执行情况。结果观察组患者在PICC后的常见并发症中,PICC堵管发生率、静脉炎发生率均低于对照组,差异有统计学意义(P<0.05)。CQI后科室护理人员对PICC导管相关理论的掌握情况和实操技能的执行情况均优于CQI前,差异均有统计学意义(P<0.05)。结论以护理敏感质量指标为指引的CQI管理可有效降低PICC并发症发生率,提高护理理论和实践技能,可予临床推广。

Objective To investigate the effect of CQI management guided by nursing sensitive quality index in re⁃ducing PICC complications.Methods A total of 110 patients with PICC catheters in the Oncology Department of the Fourth People’s Hospital of Taizhou,Jiangsu Province from March 2022 to November 2022 were select⁃ed as the control group by convenient sampling method.A total of 110 tumor patients with PICC catheter admit⁃ted to the Oncology Department of the hospital from December 2022 to July 2023 were selected as the observa⁃tion group,and the control group was given routine care.The observation group was given CQI mode on the basis of routine care.The actual incidence of PICC complications,the mastery of theories related to PICC cathe⁃ter and the implementation of practical operation skills of nurses in the two groups were compared.Results Among the common complications after PICC,the incidence of PICC tube blockage and phlebitis in observa⁃tion group was lower than that in control group,the difference was statistically significant(P<0.05).After CQI,the nurses’mastery of PICC catheter-related theories and implementation of practical skills were better than those before CQI,and the differences were statistically significant(P<0.05).Conclusion CQI management guid⁃ed by nursing sensitive quality index can effectively reduce the incidence of PICC complications,improve nurs⁃ing theoretical and practical skills,and can be popularized in clinical practice.