PDCA护理干预在白血病PICC置管患者中应用效果观察.docVIP

PDCA护理干预在白血病PICC置管患者中应用效果观察 　　【摘要】目的 观察PDCA护理干预在白血病PICC（外周静脉置人中心静脉导管）置管患者中的应用效果。方法 选择2015年7月～2016年7月商丘市第一人民医院血液科收治的白血病患者50例作为研究对象，将其随机分为观察组与对照组，各25例。给予对照组PICC置管常规护理，观察组则实施PDCA护理干预手段。观察两组PICC置管留置时间及不良事件发生情况。结果 观察组PICC置管留置时间长于对照组，差异有统计学意义（P0.05）；观察组不良事件总发生率低于对照组，差异有统计学意义（P0.05）。结论 PDCA护理干预手段的实施利于改善白血病PICC置管患者疗效，降低临床不良事件发生率，延长置管使用时间，临床普及价值高。 　　【关键词】PDCA护理干预；白血病；PICC 　　【中图分类号】R472 【文献标识码】A 【文章编号】ISSN.2095-6681.2016.31.0.02 　　PDCA nursing intervention in patients with leukemia PICC catheter application effect is observed 　　MA Qing 　　（Shangqiu first peoples hospital，Henan Shangqiu 476100，China） 　　【Abstract】Objective To observe the PDCA PICC nursing intervention in leukemia（peripheral venipuncture central venous catheter）in the patients with catheter application effect.Methods Shangqiu first peoples hospital onset in July 2015～July 2016 leukemia patients admitted during the period of 50 cases as the research object，its randomly divided into observation group and control group，25 cases.PICC catheter give control group routine nursing，the observation group implement PDCA nursing interventions.Observe two groups of PICC catheter indwelling time and adverse events.Results The observation group of PICC catheter indwelling time is longer than the control group，the difference was statistically significant（P0.05）；Observation group incidence of adverse events always lower than the control group，the difference was statistically significant（P0.05）.Conclusion PDCA implementation of nursing intervention to improve therapeutic effect in patients with leukemia PICC catheter，reduce the incidence of clinical adverse events，prolong the life time of the catheter，clinical high popularization value. 　　【Key words】PDCA nursing intervention； Leukemia；PICC 　　白血病由于人?w骨髓白血细胞发生克隆性增长所致的造血功能异常现象，临床治疗难度大，致死率极高[1]。白血病患者需长期行化疗治疗，但受到化疗药物所产生的不良反应、毒性作用以及对人体静脉的影响，临床往往通过PICC方法进行给药[2]。但临床应用PICC时发现，由于患者长期置管极易产生导管堵塞、静脉炎及感染等现象，影响导管置留时间及质量，阻碍疾病的治疗进程[3]。鉴于此，本研究将观察PDCA护理干预在白血病PICC置管患者中的应用效果。总结如下。 　　1 资料与方法