PDCA护理对肿瘤患者PICC置管依从性及护理质量的影响
Influence of PDCA Nursing on Compliance and Quality of Nursing Care of Tumor Patients with PICC Catheterization
摘要: 目的：观察肿瘤化疗患者需行PICC置管采用PDCA护理模式对患者依从性及护理质量影响分析。方法：将在我院近期(2016年03月~2017年03月时期)肿瘤PICC置管患者共计105例患者，随机分为对照组与PDCA组。其中53例采用常规护理方式护理称为对照组，另52例采用PDCA循环护理模式护理称为PDCA组。将两组患者PICC置管依从性与护理质量(包括PICC留置时间、对护理工作、PICC导管维护效果与PICC对日常生活影响评分、并发症发生率)对照解析。结果：PDCA组置管依从性明显优于对照组，差异均具有统计学意义(P < 0.001)。PDCA组PICC留置时间(52.7 ± 5.9) h、对护理工作(97.4 ± 1.5)、PICC导管维护效果(98.7 ± 0.8)与PICC对日常生活影响评分(10.6 ± 0.5)明显高于对照组，差异均具有统计学意义(P < 0.05)。PDCA组的并发症发生率(5.4%)明显少于对照组(22.64%)，具有统计学意义(x2 = 9.258, P < 0.05)。结论：对于肿瘤PICC置管患者，采用PDCA护理模式可有效提高患者置管依从性，提高护理质量。
Abstract: Objective: To observe the influence of the PDCA nursing mode on the compliance and the quality of care in patients with tumor requiring PICC catheterization. Methods: In our hospital in recent years (2016.03-2017.03 months), a total of 105 tumor PICC catheter patients were randomly divided into control group and PDCA group. Among them, 53 cases were treated by routine nursing care, and the other 52 cases were treated with PDCA cycle nursing mode. Control analysis was taken in two groups of patients with PICC catheter compliance and quality of care (including PICC indwelling time, nursing work, PICC catheter maintenance effect and PICC on daily life impact score, complications rate). Results: The compliance of PDCA group was significantly better than that of the control group, the difference was statistically significant (P < 0.001). The indwelling time of PDCA group PICC is (52.7 + 5.9) h; nursing work (97.4 + 1.5), PICC catheter maintenance effect (98.7 + 0.8) and the effect of PICC on daily life (10.6 + 0.5) were significantly higher than the control group, the differences were statistically significant (P < 0.05). The complication rate of group PDCA (5.4%) was significantly less than that of the control group (22.64%), with statistical significance (x2 = 9.258, P < 0.05). Conclusion: For patients with tumor PICC catheter, the use of PDCA nursing model can effectively improve the patient compliance and improve the quality of care.
文章引用：解晓文, 张春兰, 雷桂军, 马丽, 佟银侠, 石祥彦. PDCA护理对肿瘤患者PICC置管依从性及护理质量的影响[J]. 护理学, 2018, 7(4): 158-162. https://doi.org/10.12677/NS.2018.74029

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