Application of PDCA cycle management in multi-channel safety nursing management of patientsin vascular surgery intensive care unit
血管外科重症监护室患者多管道安全护理管理中PDCA循环管理的应用

摘要

目的 分析PDCA循环管理方式在血管外科重症监护室患者多管道安全护理管理中的应用价值。方法 选择我院于2019.10-2020.10，1年内收治的100例血管外科重症监护室患者作为研究对象，将所有病患按照护理管理方法的不同，分为对照组（50名，使用常规管道安全护理管理）和干预组（50名，实施PDCA循环管理）。对两组患者在不同护理管理方法应用后管道不良事件（包括管道固定不当、标识错误、管道脱出、管道移位、非计划拔管、管道受压、管道堵塞等）的发生率和两组护理人员对患者多管道安全管理掌握情况进行分析，收集数据。结果 两组病患在接受管道管理护理后均取得一定效果，但干预组管道不良事件发生率明显低于对照组。差异均有统计学意义（P＜0.05）；对两组护理人员进行调查考核问卷得出，干预组管理护理人员对多管道安全管理掌握情况显著高于对照组，差异均有统计学意义（P＜0.05）结论 在对血管外科重症监护室患者进行多管道安全护理管理中，采用常规的管道管理护理方法，达不到重症监护室的要求；采用PDCA循环管理护理方法，能够降低管道不良事件发生概率，且在考核中采用PDCA循环管理护理方法的护理人员对多管道安全管理方法的掌握程度更好，证明PDCA循环管理护理方法在临床使用价值更高。

Abstract

Objective To analyze the application value of PDCA circulation management method in multi-channel safety nursing management of patients in vascular surgery intensive care unit.
Methods 100 vascular surgery intensive care unit patients admitted in our hospital from 2019.10 to 2020.10 within one year were selected as the research objects, and all patients were divided into control group (50 patients, using routine pipeline safety nursing management) according to different nursing management methods. ) and the intervention group (50 participants, implementing PDCA cycle management). The incidence of pipeline adverse events (including improper pipeline fixation, incorrect identification, pipeline prolapse, pipeline displacement, unplanned extubation, pipeline compression, pipeline blockage, etc.) after the application of different nursing management methods for the two groups of patients and the nursing care of the two groups The personnel analyze the patient's multi-channel safety management mastery and collect data.
Results Both groups of patients achieved certain effects after receiving pipeline management and nursing, but the incidence of pipeline adverse events in the intervention group was significantly lower than that in the control group. The differences were statistically significant (P<0.05); the questionnaires were conducted on the nursing staff of the two groups, and it was found that the nursing staff in the intervention group had significantly higher mastery of multi-channel safety management than the control group, and the differences were statistically significant (P<0.05). <0.05)
Conclusion   In the multi-channel safety nursing management of patients in the vascular surgery intensive care unit, the conventional pipeline management nursing method cannot meet the requirements of the intensive care unit; the PDCA circulation management nursing method can reduce the occurrence of pipeline adverse events. Moreover, the nursing staff who adopted the PDCA cycle management nursing method in the assessment have a better grasp of the multi-channel safety management method, which proves that the PDCA cycle management nursing method has higher clinical value.