Application of PDCA management in PICC intubation nursing of elderly critically ill patients
PDCA管理在老年重症患者PICC置管护理中的应用

摘要

目的 为提高老年重症患者PICC置管护理效果，分析将PDCA管理应用于其中的实际效果。方法 将随机选取在我院中接受治疗的60例老年重症患者参与实验，并且在治疗期间已经对其行PICC置管，为达成研究目的，对60例患者随机分组，以对照组、观察组命名并分为两个小组，继续在对照组中使用常规护理，观察组中则应用PDCA管理，比较其具体护理效果。结果 在观察组中应用PDCA管理后，导管留置时间为（77.6±8.5）d，明显长于对照组（32.6±3.2）d，（P＜0.05）；同时，观察组中仅有2例并发症情况，对照组中则有7例并发症情况，观察组并发症发生率显著低于对照组，（P＜0.05）。结论 将PDCA管理应用于老年重症患者PICC置管护理中可以达到良好效果，有助于延长导管留置时间并降低并发症发生率。

Abstract

Objective: In order to improve the nursing effect of PICC intubation in elderly critically ill patients, and to analyze the actual effect of applying PDCA management to it.
Methods: 60 elderly critically ill patients who were treated in our hospital were randomly selected to participate in the experiment, and PICC catheters had been placed on them during the treatment period. In order to achieve the research purpose, 60 patients were randomly divided into control group and observation group. Named and divided into two groups, continue to use routine nursing in the control group, and apply PDCA management in the observation group to compare their specific nursing effects.
Results: After PDCA management was applied in the observation group, the catheter indwelling time was (77.6±8.5) d, which was significantly longer than that in the control group (32.6±3.2) d, (P<0.05); at the same time, there were only 2 cases of complications in the observation group There were 7 cases of complications in the control group, and the incidence of complications in the observation group was significantly lower than that in the control group (P<0.05).
Conclusion  : The application of PDCA management to the nursing of PICC catheterization in elderly critically ill patients can achieve good results, help prolong catheter indwelling time and reduce the incidence of complications.