CAJ | 학술논문

目的：探讨PDCA循环管理对儿科外周静脉留置时间和并发症的影响。方法：研究对象来自2011年12月-2013年12月在笔者所在医院儿科行外周静脉置管的80例患儿，分别选自PDCA循环管理前后各40例患儿，对照组患儿接受常规护理方法，而观察组患儿则接受PDCA循环管理，比较两组患儿外周静脉留置时间和并发症。结果：观察组患儿并发症发生率(2.50%)显著低于对照组(20.00%)，差异有统计学意义(χ2=6.135， P<0.05)。观察组外周静脉置管留置时间(81.54±4.48)h显著对于对照组(90.54±3.45)h，两组比较差异有统计学意义(t=10.067，P<0.05)。结论：PDCA循环管理应用于外周静脉置管导管患儿能够显著增加患儿留置时间并降低患儿并发症，提高患儿家属护理满意程度，值得在临床上进一步推广。
목적：탐토PDCA순배관리대인과외주정맥류치시간화병발증적영향。방법：연구대상래자2011년12월-2013년12월재필자소재의원인과행외주정맥치관적80례환인，분별선자PDCA순배관리전후각40례환인，대조조환인접수상규호리방법，이관찰조환인칙접수PDCA순배관리，비교량조환인외주정맥류치시간화병발증。결과：관찰조환인병발증발생솔(2.50%)현저저우대조조(20.00%)，차이유통계학의의(χ2=6.135， P<0.05)。관찰조외주정맥치관류치시간(81.54±4.48)h현저대우대조조(90.54±3.45)h，량조비교차이유통계학의의(t=10.067，P<0.05)。결론：PDCA순배관리응용우외주정맥치관도관환인능구현저증가환인류치시간병강저환인병발증，제고환인가속호리만의정도，치득재림상상진일보추엄。
Objective:To investigate the effect of indwelling time and complications of PDCA circulation management of pediatric peripheral vein. Method:80 patients who were given peripheral venous catheter in our hospital from December 2011 to December 2013,40 cases were selected respectively before and after the management PDCA cycle,the control group received the routine nursing care,while the observation group received the PDCA cycle management, the peripheral vein indwelling time and complications of two groups were compared.Result:The incidence of complications of the observation group was significantly lower than that of the control group,the difference was statistically significant(2.50%vs 20.00%,χ2=6.135,P<0.05).The peripheral venipuncture indwelling time for children of the observation group was significantly lower than that of the control group[(81.54±4.48)h vs (90.54±3.45)h,t=10.067,P<0.05]. Conclusion:The PDCA cycle management applied to peripheral venous catheter in children can significantly increase the indwelling time and reduce the complications in children with family members,improve nursing satisfaction,is worthy of further promotion in clinical.