PDCA护理管理在外科中心静脉导管护理质量管理中的应用

黄丽丽 林玉玲

【摘要】 目的：探析PDCA护理管理在外科中心静脉导管护理质量管理中的应用，以期进一步提高外科中心静脉导管护理管理质量。方法：选取2014年1月-2016年5月在笔者所在医院外科中心静脉导管置管患者中的40例作为参照组;2016年6月-2018年6月在笔者所在医院外科中心静脉导管置管患者中的40例作为研究组。参照组采用常规中心静脉导管护理管理，研究组在的基础上采用PDCA护理管理，比较两组患者导管置管不良事件发生率及护理满意度情况。结果：研究组的导管置管不良事件发生率为10.00%，明显低于参照组的30.00%（P<0.05）;研究组的护理满意度为90.00%，明显高于参照组的72.50%（P<0.05）。结论：PDCA护理管理在外科中心静脉导管护理质量管理中能够提高护理管理质量，降低导管置管不良事件发生率，提升护理满意度，可为外科中心静脉导管护理管理提供依据，对护理管理具有重要意义。

【关键词】 PDCA 护理管理 外科 中心静脉导管 导管置管

doi：10.14033/j.cnki.cfmr.2020.03.051 文献标识码 B 文章编号 1674-6805（2020）03-0-03

[Abstract] Objective： To explore the application of PDCA nursing management in the quality management of surgical central venous catheter nursing， in order to further improve the quality of surgical central venous catheter nursing management. Method： A total of 40 case patients with central venous catheter catheterization treated in our hospital from January 2014 to May 2016 were randomly selected as the research object and set as the reference group. A total of 40 patients with central venous catheter catheterization treated in our hospital from June 2016 to June 2018 were randomly selected as the research object and set as the research group. The control group adopted routine central venous catheter nursing management， while the study group adopted PDCA nursing management on the basis of the reference group. The incidence of adverse events of catheter indwelling and nursing satisfaction were observed and compared between the two groups. Result： The incidence of catheter indwelling adverse events in the study group 10.00% was significantly lower than 30.00% in the reference group （P<0.05）. The nursing satisfaction in the study group was 90.00%， higher than 72.50% in the reference group （P<0.05）. Conclusion： PDCA nursing management can improve the quality of nursing management， reduce the incidence of adverse events of catheterization， shorten the catheter retention time and improve nursing satisfaction in the quality management of surgical central venous catheter nursing. It can provide relevant basis for clinical research on improving the quality of nursing management of surgical central venous catheter， and has important significance for nursing management.

[Key words] PDCA Nursing management Surgery Central venous catheter Catheterization

First-authors address： The Second Peoples Hospital of Shanwei， Shanwei 516600， China

中心靜脉导管（CVC）主要是经皮肤直接穿刺入外科手术患者静脉、颈内静脉或者股静脉部位中作快速补充营养、监测中心静脉压或者输入带有刺激性药物的主要通路[1]。我国相关卫生部门在2013年发布了《静脉治疗护理技术操作规范》，要求相关医疗部门按照规范要求实施，笔者所在医院虽在规范标准发布后对医疗人员反复加强培训，但仍与标准存在较大差距[2]。现针对外科中心静脉导管置管中的常见问题，决定采取PDCA护理管理以期取得满意效果，现将资料整理如下。