【摘要】 目的探讨在静脉导管门诊引入PDCA循环管理,由专科护士负责对院外带PICC管患者维护的护理质量进行研究。方法对照组选择2014年6月至10月静脉导管门诊病例760例,期间未实施PDCA循环管理、由多个病区派出护士轮流出诊,负责PICC管维护及健康教育,观察组为2014年11月至2015年3月静脉导管门诊病例1103例,实施PDCA循环管理、由专科护士专人负责PICC维护患者及健康教育,根据存问题不断提出改进,循环管理,比较两组在皮疹、静脉炎、导管感染、导管堵塞、导管脱落、导管移位等发生率的差异。结果由专科护士专职出诊,实施PDCA循环管理,对PICC置管患者进行维护后,导管相关并发症的发生率明显降低。结论 PDCA循环管理应用于静脉导管门诊,能降低出院患者带管期间导管相关并发症的发生率,提高患者就医行为,有效改进护理质量,提高专科护士技术服务水平,提高门诊病人满意度。更多还原

【Abstract】 Objective To explore the PDCA circulation in the management of venous catheter in clinic,The professional nurse is responsible for the study of hospital PICC nursing quality of patients with maintenance. Methods The control group from June to October 2014 760 cases of out-patient intravenous catheter, not implement the PDCA circulation management,A nurse in different ward is sent out by turns, Responsible for PICC maintenance and health education; The observation group in 2014 November to 2015 March were 1103 cases of out-patient intravenous catheter,implement The PDCA circulation management,The professional nurse responsible for the maintenance of nurses in PICC patients and health education, According to the existing problems of continuously improvement, circulation management.Compare the difference in the incidence of rash,phlebitis, Catheter infection, Catheter jam, Catheter fall off or shift and so on between the two groups. Results the professional nurse responsible for implementing the PDCA circulation management,After the maintenance of nurses in PICC patients, Catheter related complication rate was significantly lower. Conclusion The PDCA cycle management method in the venous catheter in the outpatient,Can reduce the incidence of patients with catheter related complications during tube;To improve the medical care seeking behavior;Effectively improve the quality of nursing; To improve the professional nurse service level;and to Improve the satisfaction of the outpatients.更多还原