医院管理论坛
醫院管理論罈
의원관이론단
Hospital Management Forum
2015年
9期
34-36,10
,共4页
白血病%PICC置管%PDCA护理管理
白血病%PICC置管%PDCA護理管理
백혈병%PICC치관%PDCA호리관리
Leukemia%PICC%PDCA nursing management
目的探究PDCA护理管理在白血病患者PICC置管过程中的临床效果及预后。方法将53例进行PICC置管的白血病患者作为研究对象，按照患者入院的先后顺序分为观察组和对照组。对照组患者在PICC置管过程中采用常规导管护理手段进行护理，观察组患者则在对照组的基础上应用PDCA护理管理模式。对比两组患者在临床护理过程中的置管情况、并发症发生率以及患者对护理的满意度。结果对于护理管理的满意度，观察组患者的总满意度为88.46%，而对照组为76.92%。两组患者间差异有统计学意义（P<0.05）。在置管情况方面，观察组患者的一次性穿刺成功率为100.00%，对照组患者为70.37%，观察组的导管留置时间为118.5±15.2天，明显长于对照组（105.7±8.3天）。两组在一次性穿刺成功率和导管留置时间上存在明显差异，差异有统计学意义（P<0.05）。与此同时，在导管移位和导管堵塞的发生上，观察组也均低于对照组。而在并发症发生方面，观察组患者的并发症发生率为7.69%，与对照组患者的33.33%相比明显降低，差异有统计学意义（P<0.05）。结论在白血病患者PICC置管过程中应用PDCA护理管理，能够有效提高患者一次性穿刺成功率，减少反复穿刺给患者带来的痛苦，降低并发症的发生率，延长了置管时间。患者的预后效果和生活质量得到明显提高，值得在临床上推广。
目的探究PDCA護理管理在白血病患者PICC置管過程中的臨床效果及預後。方法將53例進行PICC置管的白血病患者作為研究對象，按照患者入院的先後順序分為觀察組和對照組。對照組患者在PICC置管過程中採用常規導管護理手段進行護理，觀察組患者則在對照組的基礎上應用PDCA護理管理模式。對比兩組患者在臨床護理過程中的置管情況、併髮癥髮生率以及患者對護理的滿意度。結果對于護理管理的滿意度，觀察組患者的總滿意度為88.46%，而對照組為76.92%。兩組患者間差異有統計學意義（P<0.05）。在置管情況方麵，觀察組患者的一次性穿刺成功率為100.00%，對照組患者為70.37%，觀察組的導管留置時間為118.5±15.2天，明顯長于對照組（105.7±8.3天）。兩組在一次性穿刺成功率和導管留置時間上存在明顯差異，差異有統計學意義（P<0.05）。與此同時，在導管移位和導管堵塞的髮生上，觀察組也均低于對照組。而在併髮癥髮生方麵，觀察組患者的併髮癥髮生率為7.69%，與對照組患者的33.33%相比明顯降低，差異有統計學意義（P<0.05）。結論在白血病患者PICC置管過程中應用PDCA護理管理，能夠有效提高患者一次性穿刺成功率，減少反複穿刺給患者帶來的痛苦，降低併髮癥的髮生率，延長瞭置管時間。患者的預後效果和生活質量得到明顯提高，值得在臨床上推廣。
목적탐구PDCA호리관리재백혈병환자PICC치관과정중적림상효과급예후。방법장53례진행PICC치관적백혈병환자작위연구대상，안조환자입원적선후순서분위관찰조화대조조。대조조환자재PICC치관과정중채용상규도관호리수단진행호리，관찰조환자칙재대조조적기출상응용PDCA호리관리모식。대비량조환자재림상호리과정중적치관정황、병발증발생솔이급환자대호리적만의도。결과대우호리관리적만의도，관찰조환자적총만의도위88.46%，이대조조위76.92%。량조환자간차이유통계학의의（P<0.05）。재치관정황방면，관찰조환자적일차성천자성공솔위100.00%，대조조환자위70.37%，관찰조적도관류치시간위118.5±15.2천，명현장우대조조（105.7±8.3천）。량조재일차성천자성공솔화도관류치시간상존재명현차이，차이유통계학의의（P<0.05）。여차동시，재도관이위화도관도새적발생상，관찰조야균저우대조조。이재병발증발생방면，관찰조환자적병발증발생솔위7.69%，여대조조환자적33.33%상비명현강저，차이유통계학의의（P<0.05）。결론재백혈병환자PICC치관과정중응용PDCA호리관리，능구유효제고환자일차성천자성공솔，감소반복천자급환자대래적통고，강저병발증적발생솔，연장료치관시간。환자적예후효과화생활질량득도명현제고，치득재림상상추엄。
Objective To study the clinical effects and prognosis of PDCA nursing management on leukemia patients with PICC.Method 53 leukemia patients with PICC in our hospital were selected as the research objects. In accordance with their order of admission, the patients were divided into observation group and control group. In the process of PICC, the control group was given conventional nursing. On this basis, the observation group was given PDCA nursing. Compared the catheterization, the incidence of complications and patients' satisfaction on nursing between two groups. Results For the satisfaction on nursing management, the observation group was 88.46% while the control group was 76.92%. There was statistically significant difference between two groups (P<0.05). In the aspect of catheter, the success rate of first puncture for the observation group was 100.00% while that of the control group was 70.37%. The catheter indwelling time of observation group was 118.5±15.2 days, significantly longer than the control group (105.7± 8.3days). There were statistically differences in terms of the success rate of first puncture and catheter indwelling time between two groups (P<0.05). At the same time, in terms of the incidence of catheter displacement and obstruction, the observation group were lower than the control group. As for incidence of complications, the complication incidence of the observation group was 7.69%, significantly lower than that of the control group (33.33%). There was significant differences between two groups (P<0.05).Conclusion The application of PDCA nursing management leukemia patients with PICC can effectively improve the success rate of first puncture, reduce the incidence of complications and extend the indwelling time. The prognosis effect and life quality of patients have been significantly improved. It is worthy of clinical promotion.
