文章摘要

FOCUS-PDCA模式在早产儿PICC置管安全管理中的应用

作者: 1乔平平, 1杨少华
1 阜阳市人民医院儿科,安徽 阜阳 236000
通讯: 乔平平 Email: 2332525864@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.09.022

摘要

目的:探讨FOCUS-PDCA模式在早产儿经外周穿刺置入中心静脉导管(peripherally inserted central catheter,PICC)置管安全管理中的应用价值。方法:回顾性分析2018年4月至2020年10月于阜阳市人民医院NICU行PICC置管的75例早产儿的临床资料,将实施常规护理措施的37例早产儿纳入对照组,将实施FOCUS-PDCA模式护理的38例早产儿纳入观察组。比较两组早产儿PICC置管并发症发生率、一次性穿刺成功率、依从性、PICC留置时间、住院时间以及心理应激反应,记录家属满意度。结果:观察组PICC置管并发症总发生率低于对照组,一次性穿刺成功率、依从性均高于对照组,PICC留置时间长于对照组,住院时间短于对照组(均P<0.05);PICC置管成功后,观察组早产儿收缩压、舒张压、心率均低于对照组(均P<0.05);观察组家属满意率、满意度评分均高于对照组(均P<0.05)。结论:FOCUS-PDCA模式应用于早产儿护理中可明显减少PICC置管并发症的发生,降低置管期间的心理应激反应,提高早产儿一次性置管成功率、依从性、家属满意度。
关键词: 早产儿;经外周穿刺置入中心静脉导管置管;FOCUS-PDCA模式;并发症;满意度

Application of FOCUS-PDCA model in the safety management of PICC catheterization in premature infants

Authors: 1QIAO Pingping, 1YANG Shaohua
1 Department of Pediatrics, Fuyang People’s Hospital, Fuyang Anhui 236000, China

CorrespondingAuthor: QIAO Pingping Email: 2332525864@qq.com

DOI: 10.3978/j.issn.2095-6959.2021.09.022

Abstract

Objective: To explore the application value of FOCUS-PDCA model in the safety management of peripherally inserted central catheter (PICC) catheterization for premature infants. Methods: Clinical data of 75 premature infants who received PICC catheterization in NICU of our hospital from April 2018 to October 2020 were retrospectively analyzed. A total of 37 premature infants who received routine nursing measures were included in a control group, and 38 premature infants who received FOCUS-PDCA model nursing were included in an observation group. The incidence rates of PICC catheterization complications, one-time puncture success rate, compliance, PICC indwelling time, hospital stay and psychological stress response were compared between the 2 groups, and the family satisfaction was recorded. Results: The total incidence rate of PICC catheterization complications of premature infants in the observation group was lower than that in the control group while the one-time puncture success rate and compliance were higher than those in the control group, and the PICC indwelling time was longer than that in the control group while hospital stay was shorter than that in the control group (all P<0.05). After successful PICC catheterization, the systolic blood pressure, diastolic blood pressure and heart rate of premature infants in the observation group were lower than those in the control group (all P<0.05). The satisfaction rate and satisfaction score of the family members in the observation group were higher than those in the control group (all P<0.05). Conclusion: FOCUS-PDCA model in the nursing of premature infants can significantly reduce the occurrence of PICC catheterization complications, lower the psychological stress response during catheterization, improve the one-time catheterization success rate and compliance, and improve the family satisfaction.
Keywords: premature infants; peripherally inserted central catheter catheterization; FOCUS-PDCA model; complications; satisfaction