黃麗麗 林玉玲

【摘要】 目的：探析PDCA護(hù)理管理在外科中心靜脈導(dǎo)管護(hù)理質(zhì)量管理中的應(yīng)用，以期進(jìn)一步提高外科中心靜脈導(dǎo)管護(hù)理管理質(zhì)量。方法：選取2014年1月-2016年5月在筆者所在醫(yī)院外科中心靜脈導(dǎo)管置管患者中的40例作為參照組;2016年6月-2018年6月在筆者所在醫(yī)院外科中心靜脈導(dǎo)管置管患者中的40例作為研究組。參照組采用常規(guī)中心靜脈導(dǎo)管護(hù)理管理，研究組在的基礎(chǔ)上采用PDCA護(hù)理管理，比較兩組患者導(dǎo)管置管不良事件發(fā)生率及護(hù)理滿意度情況。結(jié)果：研究組的導(dǎo)管置管不良事件發(fā)生率為10.00%，明顯低于參照組的30.00%（P<0.05）;研究組的護(hù)理滿意度為90.00%，明顯高于參照組的72.50%（P<0.05）。結(jié)論：PDCA護(hù)理管理在外科中心靜脈導(dǎo)管護(hù)理質(zhì)量管理中能夠提高護(hù)理管理質(zhì)量，降低導(dǎo)管置管不良事件發(fā)生率，提升護(hù)理滿意度，可為外科中心靜脈導(dǎo)管護(hù)理管理提供依據(jù)，對(duì)護(hù)理管理具有重要意義。

【關(guān)鍵詞】 PDCA 護(hù)理管理 外科 中心靜脈導(dǎo)管 導(dǎo)管置管

doi：10.14033/j.cnki.cfmr.2020.03.051 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 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

中心靜脈導(dǎo)管（CVC）主要是經(jīng)皮膚直接穿刺入外科手術(shù)患者靜脈、頸內(nèi)靜脈或者股靜脈部位中作快速補(bǔ)充營(yíng)養(yǎng)、監(jiān)測(cè)中心靜脈壓或者輸入帶有刺激性藥物的主要通路[1]。我國(guó)相關(guān)衛(wèi)生部門(mén)在2013年發(fā)布了《靜脈治療護(hù)理技術(shù)操作規(guī)范》，要求相關(guān)醫(yī)療部門(mén)按照規(guī)范要求實(shí)施，筆者所在醫(yī)院雖在規(guī)范標(biāo)準(zhǔn)發(fā)布后對(duì)醫(yī)療人員反復(fù)加強(qiáng)培訓(xùn)，但仍與標(biāo)準(zhǔn)存在較大差距[2]?，F(xiàn)針對(duì)外科中心靜脈導(dǎo)管置管中的常見(jiàn)問(wèn)題，決定采取PDCA護(hù)理管理以期取得滿意效果，現(xiàn)將資料整理如下。