PDCA护理模式在宫颈癌晚期患者PICC置管中应用.docVIP

PDCA护理模式在宫颈癌晚期患者PICC置管中应用 　　【摘 要】目的：对循环质量管理（plan-do-check-action，PDCA）护理模式在宫颈癌晚期患者经外周静脉置入中心静脉导管（PICC）置管及护理过程中的效果进行评价分析。方法：选取2014年―2015年在第三军医大学大坪医院进行PICC置管，并应用PDCA护理模式进行护理管理的宫颈癌晚期患者50例作为观察组，选取作2013-2014年该院行PICC置管，行PICC常规护理管理的宫颈癌晚期患者49例为对照组，观察并统计两组患者PICC置管一次成功率，相关并发症发生情况，导管留置时间以及患者的满意度。结果：观察组PICC置管一次成功率为96.00%，对照组PICC置管一次成功率为75.51%；观察组相关并发症发生率为12.00%， 对照组相关并发症发生率为38.78%；观察组留置时间为136.06±14.58天， 对照组为112.16±15.62天；观察组满意率为90.00%， 对照组满意率为71.43%，上述各项比较差异均具有统计学意义 P0.05。结论：在宫颈癌晚期患者PICC置管过程中的应用PDCA护理模式能显著提高穿刺成功率，减少PICC置管过程中的相关并发症，延长PICC置管时间，提高患者的满意度。 　　【关键词】PDCA，护理，PICC置管， 宫颈癌 　　Abstract：Objective To evaluate the effect of PDCA model in PICC catheter nursing for patients with late cervical cancer. Methods 50 patients with late cervical cancer accepted PICC from 2014 to 2015 in Daping Hospital of Chongqing， were treated with PDCA model nursing， as experimental group； another 49 cases with late cervical cancer accepted PICC from 2013 to 2014， were treated with routine nursing， as control group. Success rate for the first time puncture and occurrence rate of complications as well as the keeping time of catheter in two groups were observed； satisfaction rate of nursing were carried out after nursing. Results In experimental group， success rate for the first time puncture was 96.00%，and in control group it was 75.51%. In experimental group， the complication rate was 12.00% ，and in control group the complication rate was 38.78%. In experimental group ， the keeping time of catheter was 136.06±14.58 days， and in control group the keeping time of catheter was 112.16±15.62 days. The satisfaction rate of experimental group was 90.00%， and the control group was 80.9%.All of the above were compared， the differences were statistically significant （P 0.05）. Conclusion PDCA model applied in the PICC catheter nursing of patients with late cervical cancer can significantly improve the success rate of the first puncture ， reduce the patients catheter complications， increase the keeping time o