摘要
目的探讨PDCA(Plan、Do、Check、Action)循环结合微信平台在经外周静脉穿刺中心静脉置管术(peripher ally inserted central catheter,PICC)导管门诊护理中的应用效果。方法将2016年1月~2018年1月在我院门诊行PICC导管维护的90例患者纳入本研究。按照随机数字表法均分为常规健康教育组、微信组、PDCA+微信组各30例。在干预前和干预后1周评估3组患者的PICC相关知识水平,干预后1个月评估3组患者的导管维护依从性和自我护理能力。结果 PDCA+微信组对提高患者PICC相关知识掌握度的作用明显高于常规健康教育组和单纯微信组(P<0.05);PDCA+微信组在提高患者导管维护依从性、自我护理能力评分明显高于常规健康教育组(P<0.05);PDCA+微信组和单纯微信组患者导管维护依从性、自我护理能力评分对比,差异无统计学意义(P>0.05)。结论 PDCA循环结合微信平台能够改善患者PICC相关知识知晓情况,提高患者管维护依从性、自我护理能力评分,有较高的应用价值。
Objective To investigate the application effect of PDCA（Plan, Do, Check, Action） cycle combined withWeChat platform in PICC （peripherally inserted central catheter） outpatient nursing care. Methods A total of 90 patientswho were given PICC catheter maintenance in the outpatient clinic in our hospital from January 2016 to January 2018were enrolled in the study. According to the random number table method, the patients were divided into regular healtheducation group, WeChat group and PDCA＋WeChat group, with 30 patients in each group. The PICC-related knowledge levels of the three groups were evaluated before and one week after the intervention. The catheter maintenancecompliance and self-care ability of the three groups were evaluated one month after the intervention. Results The effectof improving PICC-related knowledge levels in the PDCA＋WeChat group was significantly higher than that in the regular health education group and the WeChat group （P〈0.05）; the effect of improving the catheter maintenance complianceand self-care ability scores in the PDCA＋WeChat group was significantly higher than that in the regular health education group （P〈0.05）; the catheter maintenance compliance and self-care ability scores in the PDCA＋WeChat group and WeChat group were compared, the difference was not statistically significant（P〉0.05）. Conclusion PDCA cycle combinedwith WeChat platform can improve the levels of PICC-related knowledge, improve patients＇ catheter maintenance compliance and self-care ability score, and has a high application value.
作者
王金梅
王萍
贺华
朱红艳
WANG Jinmei;WANG Ping;HE Hua;ZHU Hongyan(Department of Outpatient Clinic,Pingxiang Second People＇s Hospital in Jiangxi Province,Pingxiang 337000,China;Department of Internal Medicine,Pingxiang Third People＇s Hospital in Jiangxi Province,Pingxiang 337000,China;Department of Dermatology,Pingxiang Hospital of TCM in Jiangxi Province,Pingxiang 337000,China;Departmentof Gastroenterology,Pingxiang Second People爷s Hospital in Jiangxi Province,Pingxiang 337000,China)
出处
《中国现代医生》
2018年第29期158-160,163,共4页
China Modern Doctor
基金
江西省卫生科技计划项目(20184053)
