PDCA护理模式在消化内镜护理中的临床价值评价

顾美华

[摘要] 目的 探讨消化内镜护理中应用PDCA护理模式临床价值。方法 2018年1—12月实施PDCA风险管理模式作为观察组，2017年1—12月常规护理风险管理作为对照组，对照组实施胃肠镜检查常规护理，观察组实施PDCA循环护理干预。结果 观察组护理人员急救药物准备（98.12±1.24）分、理论知识（96.30±2.08）分、仪器设备（95.35±3.12）分、安全管理（97.07±1.87）分、消毒隔離（96.43±2.11）分、操作技术（94.22±3.02）分高于对照组的（90.28±4.34）分、（89.15±5.28）分、（87.27±7.25）分、（91.27±3.25）分、（89.28±5.15）分、（86.22±4.23）分（P<0.05）;观察组依从性好97.86%、检查前准备99.29%、护理满意99.29%高于对照组的87.14%、85.71%、92.14%（P<0.05）;观察组护理缺陷1.43%、护理投诉0.00%低于对照组的6.43%、3.57%（P<0.05）。结论 消化内科科室施行PDCA循环模式管理护理人员的理论基础和操作能力都有很大程度提高，对临床护理管理工作有借鉴意义。

[关键词] PDCA模式;临床价值;护理风险;风险管理;护理管理;消化内镜

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2019）10（c）-0103-03

Evaluation of Clinical Value of PDCA Nursing Mode in Digestive Endoscopy Nursing

GU Mei-hua

Endoscopy Room， Nantong Cancer Hospital， Nantong， Jiangsu Province， 226001 China

[Abstract] Objective To investigate the clinical value of PDCA nursing model in digestive endoscopy nursing. Methods The PDCA risk management model was implemented as an observation group from January to December 2018. The routine nursing risk management was used as a control group from January to December 2017， and the gastrointestinal endoscopy routine nursing was performed in the control group. Intervention was adopted in the observation group. Results Observation group first-aid drug preparation （98.12±1.24）points， theoretical knowledge （96.30±2.08）points， instrumentation （95.35±3.12）points， safety management （97.07±1.87）points， disinfection isolation （96.43±2.11）points， operation technology （94.22± 3.02）points higher than the control group（90.28±4.34）points，（89.15±5.28）points， （87.27±7.25）points，（91.27±3.25）points， （89.28±5.15）points，（86.22±4.23）points（P<0.05）; observation group of the compliance was 97.86%， 99.29% was prepared before examination， and 99.29% of nursing satisfaction was higher than 87.14%， 85.71%， and 92.14% of the control group（P<0.05）. The nursing defect of the observation group was 1.43%， and the nursing complaint was 0.00% lower than the control group of 6.43% and 3.57%（P<0.05）. Conclusion The theoretical basis and operational ability of the nursing staff in the implementation of the PDCA cycle model in the Department of Gastroenterology have been greatly improved， which has reference significance for clinical nursing management.

[Key words] PDCA mode; Clinical value; Nursing risk; Risk management; Nursing management; Digestive endoscopy

目前消化内镜在临床中的应用越来越普遍，对于消化系统疾病的诊断、治疗提供重要帮助，但是消化内镜检查作为一种侵入性的诊断技术，在实际应用过程中也存在一定风险，如引发穿孔、出血、感染等问题[1]，因此寻找有效措施来规避护理风险非常关键[2]。该研究于2018年1—12月将PDCA循环模式应用与消化内镜护理中，在控制护理风险的发生上效果显著，现报道如下。