管道专科护理小组PDCA循环法对住院患者尿管非计划拔管率的影响
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摘要
目的探讨PDCA循环法对降低住院患者尿管非计划性拔管率的效果。方法选取2017年4—6月未开展PDCA活动的留置尿管住院患者129例设为对照组,2017年7—9月开展PDCA活动后留置尿管的住院患者110例设为实验组,分析对照组发生尿管非计划性拔管的原因,制定相关的整改措施;对比分析2组患者尿管非计划性拔管率。结果实验组非计划性拔管率为0.91%,对照组为6.20%,2组患者尿管非计划性尿管拔管率的差异有统计学意义(P<0.05)。结论运用PDCA循环法可有效降低住院患者尿管非计划拔管率,值得临床上推广。
Objective To evaluate effect of PDCA circulation on incidence rate of unplanned urinary catheter removal in hospitalized patients. Methods A total of 129 hospitalized patients without PDCA circulation from April and June 2017 were selected as control group,and 110 hospitalized patients with PDCA circulation from July to September 2017 were as experimental group. The reasons of unplanned urinary catheter removal in the control group were explored and the targeted measures were formulated. The incidence rate of unplanned urinary catheter removal in two groups were compared. Results Unplanned urinary catheter removal rate was 0. 91% in the experimental group,and6. 20% in the control group. There was a statistically significant difference between the two groups( P < 0. 05). Conclusion PDCA circulation can reduce incidence rate of unplanned urinary catheter,which is worthy of clinical application.
Objective To evaluate effect of PDCA circulation on incidence rate of unplanned urinary catheter removal in hospitalized patients. Methods A total of 129 hospitalized patients without PDCA circulation from April and June 2017 were selected as control group,and 110 hospitalized patients with PDCA circulation from July to September 2017 were as experimental group. The reasons of unplanned urinary catheter removal in the control group were explored and the targeted measures were formulated. The incidence rate of unplanned urinary catheter removal in two groups were compared. Results Unplanned urinary catheter removal rate was 0. 91% in the experimental group,and6. 20% in the control group. There was a statistically significant difference between the two groups( P < 0. 05). Conclusion PDCA circulation can reduce incidence rate of unplanned urinary catheter,which is worthy of clinical application.
引文
[1]魏碧蓉.基于PDCA循环的护理本科毕业论文过程管理[J].中华护理教育,2010,7(6):264-265.
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[5]余红,杨惠英,刘银梅.品管圈管理在降低重症监护病房导尿管相关尿路感染中的应用[J].上海预防医学,2015,27(9):590-591.
[6]洪小英,朱晓菁,张丹桃,等.品管圈活动降低急诊科未按需使用护理安全标识的实践[J].现代临床护理,2015,14(8):62-65.
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[8]潜艳,曾铁英,董翠萍.ICU患者非计划性拔管影响因素的研究进展[J].解放军护理杂志,2015,32(6):45-48.
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[10]邢小利,李琦.胃癌患者术后拔除导尿管最佳时间的探讨[J].中国实用护理杂志,2015,31(17):1269-1270.
[11]陈丽萍,万园园,刘艳,等.肝胆外科术后患者早期拔除导尿管的适宜方法及时间[J].中国实用护理杂志,2012,28(19):22-23.
[12]胡萍.留置气囊尿管气囊内注水加注气预防尿液渗漏的研究[J].中国医药科学,2016,6(6):87-89.
[13]尹建兵,王越,张兰,等.导尿管在临床使用中的不良事件分析[J].中国医疗器械杂志,2016,40(5):369-372.
[14]顾青,周红艳,顾硕.留置尿管的护理研究进展[J].中国医学装备,2014,8(11):489-490.
[15]马志军,张春红,仇兰香,等.尿道口渗液的关系研究[J].护理学杂志,2015,30(8):50-52.
[16]陆云,王艳,龚荣花,等.PDCA循环法在手术室专科护士培训中的应用[J].护理实践与研究,2015,12(3):101-103.
[17]叶慧丽.PDCA循环法在急诊护理安全管理实施中的作用[J].临床医学工程,2018,25(2):227-228.
[18]颜玉贤,梁喜芳,蔡传钢.护理干预对脑卒中留置胃管患者非计划性拔管的影响[J].国际医药卫生导报,2013,19(3):423-425.
[2]宋瑰琦.护理敏感质量指标实用手册[M].北京:人民卫生出版社,2016:157-157.
[3]雷霞,何丽,王莲香.品管圈活动在降低ICU非计划性拔管中的应用[J].当代护士,2016,10(1):127-128.
[4]陈锦,高加蓉,李蒙,等.运用品管圈降低留置导尿管伴随性尿路感染的实践[J].重庆医学,2014,44(21):2822-2833.
[5]余红,杨惠英,刘银梅.品管圈管理在降低重症监护病房导尿管相关尿路感染中的应用[J].上海预防医学,2015,27(9):590-591.
[6]洪小英,朱晓菁,张丹桃,等.品管圈活动降低急诊科未按需使用护理安全标识的实践[J].现代临床护理,2015,14(8):62-65.
[7]温璇,刘晓慧,王凝,等.综合重症监护室非计划性气管拔管的研究进展[J].全科护理,2017,15(2):151-153.
[8]潜艳,曾铁英,董翠萍.ICU患者非计划性拔管影响因素的研究进展[J].解放军护理杂志,2015,32(6):45-48.
[9]陈元健,王靖.留置气囊尿管拔管方法的护理进展,中国现代药物研究,2013,9(7):175-176.
[10]邢小利,李琦.胃癌患者术后拔除导尿管最佳时间的探讨[J].中国实用护理杂志,2015,31(17):1269-1270.
[11]陈丽萍,万园园,刘艳,等.肝胆外科术后患者早期拔除导尿管的适宜方法及时间[J].中国实用护理杂志,2012,28(19):22-23.
[12]胡萍.留置气囊尿管气囊内注水加注气预防尿液渗漏的研究[J].中国医药科学,2016,6(6):87-89.
[13]尹建兵,王越,张兰,等.导尿管在临床使用中的不良事件分析[J].中国医疗器械杂志,2016,40(5):369-372.
[14]顾青,周红艳,顾硕.留置尿管的护理研究进展[J].中国医学装备,2014,8(11):489-490.
[15]马志军,张春红,仇兰香,等.尿道口渗液的关系研究[J].护理学杂志,2015,30(8):50-52.
[16]陆云,王艳,龚荣花,等.PDCA循环法在手术室专科护士培训中的应用[J].护理实践与研究,2015,12(3):101-103.
[17]叶慧丽.PDCA循环法在急诊护理安全管理实施中的作用[J].临床医学工程,2018,25(2):227-228.
[18]颜玉贤,梁喜芳,蔡传钢.护理干预对脑卒中留置胃管患者非计划性拔管的影响[J].国际医药卫生导报,2013,19(3):423-425.