摘要
目的:探讨计划-执行-检查-处理(PDCA)模式对PICC置管新生儿非计划拔管发生率的影响。方法:选取2018年1月-2019年7月笔者所在医院PICC置管新生儿118例,依据建档时间分为研究组(n=59)与对照组(n=59)。对照组采取常规护理,研究组在对照组基础上采取PDCA模式,统计两组非计划拔管发生率、导管留置时间、家属护理满意度及护理投诉率。结果:研究组非计划拔管发生率为3.39%,低于对照组的18.64%(P<0.05);研究组导管留置时间长于对照组(P<0.05);研究组NSNS评分高于对照组,护理投诉率低于对照组(P<0.05)。结论:将PDCA模式应用于PICC置管新生儿中,能降低非计划拔管发生率,延长导管留置时间,还可提高家属护理满意度。
Objective:To investigate the effect of plan-do-check-action (PDCA) model on the incidence of unplanned extubation in neonates with PICC catheterization.Method:A total of 118 neonates with PICC catheterization in our hospital from January 2018 to July 2019 were selected and divided into the study group (n=59) and the control group (n=59) according to the filing time.Routine nursing was adopted in the control group,and PDCA model was adopted in the study group on the basis of the control group.The incidence of unplanned extubation,catheter indwelling time,nursing satisfaction of family members and nursing complaint rate were compared between the two groups.Result:The incidence of unplanned extubation in the study group was 3.39%,which was lower than 18.64% of the control group (P<0.05).Catheter indwelling time in the study group was longer than that of the control group (P<0.05).The NSNS score of the study group was higher than that of the control group,and the nursing complaint rate was lower than that of the control group (P<0.05).Conclusion:The application of PDCA model to neonates with PICC catheterization can reduce the incidence of unplanned extubation,prolong catheter indwelling time,and improve the nursing satisfaction of family members.
作者
周珍珍
ZHOU Zhenzhen(The First People’s Hospital of Xiaochang County,Xiaochang 432900,China)
出处
《中外医学研究》
2020年第11期78-80,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
