CAJ | 학술논문

目的探讨PDCA循环管理法对降低儿童化疗药物渗出率的作用.方法从2009年10月至2011年5月,采用PDCA循环管理的模式对上海交通大学附属儿童医院血液肿瘤科收治的71例化疗期的患儿静脉应用化疗药物的情况进行干预管理,同期住院的非化疗期的68例患儿作为对照组,分析PDCA循环管理早期干预对预防化疗药物外渗的效果.结果对照组非化疗期病人68例中有6例渗出,渗出率8.82％,化疗组71例中有2例渗出,渗出率2.82％,明显低于对照组,差异有统计学意义(x2=5.887,P＜0.05).结论 PDCA循环管理能有效降低儿童化疗药物的外渗率.
목적 탐토PDCA순배관리법대강저인동화료약물삼출솔적작용.방법 종2009년10월지2011년5월,채용PDCA순배관리적모식대상해교통대학부속인동의원혈액종류과수치적71례화료기적환인정맥응용화료약물적정황진행간예관리,동기주원적비화료기적68례환인작위대조조,분석PDCA순배관리조기간예대예방화료약물외삼적효과.결과 대조조비화료기병인68례중유6례삼출,삼출솔8.82％,화료조71례중유2례삼출,삼출솔2.82％,명현저우대조조,차이유통계학의의(x2=5.887,P＜0.05).결론 PDCA순배관리능유효강저인동화료약물적외삼솔.
Objective To analyze the effect of PDCA cycle management method on reducing the rate of extravasation of chemotherapeutic drugs in children.Methods PDCA cycle management mode was adopted in 71 children in chemotherapy period in the blood cancer ward from October 2009 to May 2011,and 68 children in non-chemotherapy period during the same hospitalized period were control group.Analyzed the extravasation rate and evaluate the effect of PDCA cycle management on chemotherapy extravasation.Results There were 2 cases of extravasation in chemotherapy group,with the extravasation rate of 2.82％,while there was 6 cases of extravasation in control group and the rate was 8.82％,and the difference was statistically significant (X2 =5.887,P ＜ 0.05).Conclusions PDCA cycle management can effectively reduce the rate of extravasation of chemotherapeutic drugs in children.