中西医结合护理 (Jul 2022)
Application of PDCA cycle in management of breast cancer patients undergoing peripherally inserted central catheter placement (PDCA循环模式在乳腺癌患者PICC置管管理中的应用)
Abstract
Objective To evaluate the application of Plan-Do-Check-Action cycle(PDCA) model in management of breast cancer patients undergoing peripherally inserted central catheter (PICC)placement. Methods According to sequence of hospital admissions, totally 100 breast cancer patients undergoing PICC placement were divided into the control group and observation group, with 50 patients in each group. Routine PICC maintenance was carried out in the control group during the treatment, and PDCA cycle model was used in management of PICC placement in the observation group. The incidence of complications, treatment compliance and patient satisfaction were compared between two groups. Results The incidence rates of puncture-site infection, catheter blockage and fever induced by catheter-related infection in the observation group than those in the control group, and a significant difference was found in catheter blockage rate between two groups (P＜0. 05). Patients in the observation group had a better outcome of treatment compliance and satisfaction assessment than those in the control group (P＜0. 05). Conclusion The PDCA cycle mode in an effective tool in quality improvement of PICC maintenance for breast cancer patients. It is able to reduce the incidence of complications and improve the treatment compliance and satisfaction of patients. (目的 探讨PDCA循环质量管理模式在乳腺癌患者经外周静脉置入中心静脉导管(PICC)置管管理中的应用效果。方法 选取2019年3月—2021年3月医院收治的100例乳腺癌PICC置管患者为研究对象, 根据入组的先后顺序分为观察组和对照组, 各50例。治疗期间, 对照组接受常规护理和PICC置管维护; 观察组实施基于PDCA循环模式的PICC置管维护和管理。比较两组患者的并发症发生情况、治疗依从性以及满意度。结果 观察组穿刺口感染、导管堵塞和发热反应发生率均低于对照组, 其中导管堵塞发生率两组比较, 差异有统计学意义(P＜0. 05)。观察组患者治疗依从性和满意度评价均优于对照组, 差异有统计学意义(P＜0. 05)。结论 PDCA循环模式能提升乳腺癌患者PICC置管维护和管理质量, 降低并发症发生风险, 提升患者治疗依从性和满意度。)
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