譚超

[摘要] 目的 探討外科中心靜脈導管(CVC)護理中PDCA循環法的應用價值。方法 選取該院外科于2018年5月—2019年5月收治的60例CVC置管患者,依據隨機數字表法分為兩組,每組為30例,對照組開展傳統護理,觀察組采用PDCA循環法開展護理,對比兩組護理效果。結果 觀察組導管留置時間長于對照組(P<0.05)。觀察組置管并發癥發生率10.00%低于對照組40.00%(P<0.05)。觀察組護理滿意度96.67%高于對照組70.00%(P<0.05)。結論 針對外科中心靜脈導管患者,通過采用PDCA循環法進行護理,能延長導管留置時間,提高護理滿意度,減少并發癥,臨床應用價值突出。
[關鍵詞] 外科;中心靜脈導管;PDCA
[中圖分類號] R473 [文獻標識碼] A [文章編號] 1672-5654(2020)03(a)-0080-03
[Abstract] Objective To explore the application value of PDCA circulation in the surgical central venous catheter (CVC) nursing. Methods A total of 60 patients with CVC who were treated in the hospital from May 2018 to May 2019 were selected and divided into two groups according to the random number table method. Each group consisted of 30 patients. The control group performed traditional nursing. The observation group used PDCA circulation nursing, and the nursing effects of the two groups were compared. Results The catheter indwelling time in the observation group was longer than that in the control group(P<0.05). The incidence of catheterization complications in the observation group 10.00% was lower than that in the control group 40.00%(P<0.05). The nursing satisfaction of the observation group 96.67% was higher than that of the control group 70.00%(P<0.05). Conclusion For patients with surgical central venous catheters, the PDCA circulation method can be used for nursing, which can prolong the catheter indwelling time, improve nursing satisfaction, reduce complications, and have outstanding clinical application value.
[Key words] Surgery; Central venous catheter; PDCA
中心靜脈導管(CVC)置管是現階段外科大手術患者、臨床病情危急患者靜脈輸液的主要方式。CVC實為經皮膚直接在頸內靜脈、股靜脈或者鎖骨下靜脈等部位處穿刺,且沿血管的基本走向,直至腔靜脈的插管,此種插管能夠更好地對患者中心靜脈壓進行監測,而且還能實現快速補液,因而能夠達到強化藥物療效的目的[1]。但有報道[2]指出,CVC置管應用于臨床中,經常會出現許多不良反應,比如導管脫落、導管滲液及穿刺點出血等,因而會對CVC置管效果造成直接影響。對此,需要切實采取有效措施,最大程度減少不良事件發生,延長導管留置時間。該文針對該院外科2018年5月—2019年5月間所收治患者,開展PDCA循環護理,觀察其效果,現報道如下。
1 ?資料與方法
1.1 ?一般資料
選取來該院接受治療的CVC置管患者60例,年齡均>18歲,不存在交流障礙,精神正常,身體狀況好;排除治療依從性差者及伴有嚴重并發癥者。將所選取患者按照隨機數字表法分成兩組,每組患者均為30例,對照組中,男性18例,女12例,年齡區間20~80歲,平均(59.6±5.3)歲。觀察組中,男性17例,女13例,年齡區間20~80歲,平均(59.5±5.1)歲;兩組性別等資料經全面對比,差異無統計學意義(P>0.05)。……p>