PDCA结合4Y模式降低早产儿PICC堵管率
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摘要
[目的]探讨应用PDCA循环结合4Y模式降低早产儿经外周静脉置入中心静脉导管(PICC)堵管的效果。[方法]成立PICC核心团队,将40例PICC置管早产儿中出现堵管的原因进行分析,采用PDCA循环结合计划到位、责任到位、检查到位、激励到位的4Y方法,运用于40例PICC观察组早产儿,比较两组之间的差异。[结果]前后两组早产儿PICC堵管率从25%降低到5%,差异有统计学意义(P<0.05)。[结论]运用PDCA结合4Y管理模式对早产儿PICC堵管进行研究,堵管率明显降低,实现质量的持续改进。
Objective:To probe into the effect of PDCA combined with 4Y model to reduce the PICC blockage rate in premature infants.Methods:The core team of PICC was established,then to analyze the PICC blockage cause in a total of 40 premature infants received PICC catheter.PDCA circulation combined with 4Y model which included plan in place,responsibility in place,check in place,incentive in place was used in 40 premature infants in observation group,then to compare the difference between both groups.Results:The PICC blockage rate was decreased from 25%to 5%,and the difference was statistically significant(P<0.05).Conclusion:PDCA combined with 4Y model can significantly reduce PICC blockage rate in premature infants,and will realize the continuous improvement of nursing quality.
Objective:To probe into the effect of PDCA combined with 4Y model to reduce the PICC blockage rate in premature infants.Methods:The core team of PICC was established,then to analyze the PICC blockage cause in a total of 40 premature infants received PICC catheter.PDCA circulation combined with 4Y model which included plan in place,responsibility in place,check in place,incentive in place was used in 40 premature infants in observation group,then to compare the difference between both groups.Results:The PICC blockage rate was decreased from 25%to 5%,and the difference was statistically significant(P<0.05).Conclusion:PDCA combined with 4Y model can significantly reduce PICC blockage rate in premature infants,and will realize the continuous improvement of nursing quality.
引文
[1]顾瓅,吴宏荷,陆红英,等.极低出生体重儿经颞浅静脉置入PICC导管的可行性研究[J].中国妇幼保健,2013,28(25):4244-4246.
[2]吴欣娟,孙文彦,曹晶,等.规范PICC操作护士管理保障静脉治疗安全[J].中国护理管理,2014,14(6):561-563.
[3]谭学蓉,周玲,周昀霞,等.PICC在早产儿中应用的并发症观察与护理[J].中国医药指南,2011,9(18):188-189.
[4]周成,吴碎春,任晓碧,等.应用PDCA循环提高儿童24小时尿标本留取合格率的实践[J].中国护理管理,2013,13(11):52-55.
[5]林颖,林琴,江少红,等.极低出生体重儿106例外周中心静脉置管的应用与管理[J].中国新生儿科杂志,2009,24(2):123-124.
[6]Ngo A,Murphy SA.theory-based intervention to improve nurses’knowledge,self-efficacy,and skills to reduce PICC occlusion[J].Journal of Infusion Nursing,2005,28(3):173-181.
[7]楼晓芳,陈正,吕华,等.NICU经外周置入中心静脉导管相关感染的调查[J].中华护理杂志,2006,41(4):375-377.
[8]周洁玉,陶莺.带袖套约束床单用于PICC置管早产儿的体会[J].护士进修杂志,2014,29(23):封三.
[2]吴欣娟,孙文彦,曹晶,等.规范PICC操作护士管理保障静脉治疗安全[J].中国护理管理,2014,14(6):561-563.
[3]谭学蓉,周玲,周昀霞,等.PICC在早产儿中应用的并发症观察与护理[J].中国医药指南,2011,9(18):188-189.
[4]周成,吴碎春,任晓碧,等.应用PDCA循环提高儿童24小时尿标本留取合格率的实践[J].中国护理管理,2013,13(11):52-55.
[5]林颖,林琴,江少红,等.极低出生体重儿106例外周中心静脉置管的应用与管理[J].中国新生儿科杂志,2009,24(2):123-124.
[6]Ngo A,Murphy SA.theory-based intervention to improve nurses’knowledge,self-efficacy,and skills to reduce PICC occlusion[J].Journal of Infusion Nursing,2005,28(3):173-181.
[7]楼晓芳,陈正,吕华,等.NICU经外周置入中心静脉导管相关感染的调查[J].中华护理杂志,2006,41(4):375-377.
[8]周洁玉,陶莺.带袖套约束床单用于PICC置管早产儿的体会[J].护士进修杂志,2014,29(23):封三.