有创动脉血压监测的非计划性拔管发生率中PDCA循环的应用效果

Effects of PDCA Circulation on the Incidence of Unplanned Extubation in Invasive Arterial Blood Pressure Monitoring

目的探讨PDCA循环在减少有创动脉血压监测患儿非计划性拔管中的应用价值。方法选取2017年1月至2018年12月于东莞市妇幼保健院儿科重症监护室(PICU)接受有创动脉血压的患儿60例,采用随机数字表法分为观察组和对照组,每组30例。对照组进行常规护理,观察组实施PDCA循环护理。比较两组患儿非计划性拔管发生率、感染发生情况、住院费用、住院时间。结果观察组非计划性拔管发生率、感染发生率、住院时间和住院费用均显著低于对照组,差异有统计学意义(P<0.05)。结论 PDCA循环能够减少有创动脉血压监测中非计划性拔管发生率。

Objective To explore the application value of PDCA circulation in reducing unplanned extubation in children with invasive arterial blood pressure monitoring.Methods A total of 60 children who received invasive arterial blood pressure from January 2017 to December 2018 in Pediatric Intensive Care Unit(PICU)of Dongguan Maternal and Child Health Hospital were randomly divided into observation group and control group with 30 cases in each group.The control group received routine nursing,while the observation group received PDCA circular nursing.The incidence of unplanned extubation,infection,hospitalization expenses and hospitalization time were compared between the 2 groups.Results The incidence of unplanned extubation,infection,hospitalization time and hospitalization expenses in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The PDCA cycle can reduce the incidence of unplanned extubation in invasive arterial blood pressure monitoring.