CAJ | 학술논문

目的：探讨导管监测小组采用持续质量改进在优化重症医学科PICCO导管监测患者护理质量中的作用。方法采用便利取样法，选取在济宁市第一人民医院行PICCO导管监测的患者72例为研究对象，将2011年1～12月收集的36例患者作为对照组，2012年1～12月收集的36例患者作为实验组，对照组给予常规护理，实验组在此基础上实行持续质量改进。结果实验组导管感染率、导管功能不良率及患者焦虑程度低于对照组（P<0.05），其抢救成功率、导管认可度及护理满意度高于对照组（P<0.05）。结论持续质量改进可降低导管相关并发症发生率，缓解患者负性情绪，提高护理质量。
목적：탐토도관감측소조채용지속질량개진재우화중증의학과PICCO도관감측환자호리질량중적작용。방법채용편리취양법，선취재제저시제일인민의원행PICCO도관감측적환자72례위연구대상，장2011년1～12월수집적36례환자작위대조조，2012년1～12월수집적36례환자작위실험조，대조조급여상규호리，실험조재차기출상실행지속질량개진。결과실험조도관감염솔、도관공능불량솔급환자초필정도저우대조조（P<0.05），기창구성공솔、도관인가도급호리만의도고우대조조（P<0.05）。결론지속질량개진가강저도관상관병발증발생솔，완해환자부성정서，제고호리질량。
Objective To explore the role of the catheter monitoring group optimize nursing quality of intensive care unite PICCO catheter monitoring by continuous quality improvement.MethodsSeventy-seven patients with PICCO catheter monitoring were recruited by convenience sampling method in the first hospital of jining,we colected 36 patients as control group from January to December in 2011,and 36 patients as experimental group from January to December in 2012,the control group given routine nursing care,while the experimental group implied continuous quality improvement.Results The experimental group’s catheter infection,catheter function defective rate and degree of anxiety in patients were lower than the control group(P< 0.05),the success rate of rescue,catheter recognition and nursing satisfaction were higher than control group(P< 0.05).Conclusion Continuous quality improvement can reduce the incidence of catheter related complications,relieve patients' negative mood,improve the quality of nursing.