PDCA護理模式在消化內鏡護理中的臨床價值評價

顧美華

[摘要] 目的 探討消化內鏡護理中應用PDCA護理模式臨床價值。方法 2018年1—12月實施PDCA風險管理模式作為觀察組，2017年1—12月常規護理風險管理作為對照組，對照組實施胃腸鏡檢查常規護理，觀察組實施PDCA循環護理干預。結果 觀察組護理人員急救藥物準備（98.12±1.24）分、理論知識（96.30±2.08）分、儀器設備（95.35±3.12）分、安全管理（97.07±1.87）分、消毒隔離（96.43±2.11）分、操作技術（94.22±3.02）分高于對照組的（90.28±4.34）分、（89.15±5.28）分、（87.27±7.25）分、（91.27±3.25）分、（89.28±5.15）分、（86.22±4.23）分（P<0.05）;觀察組依從性好97.86%、檢查前準備99.29%、護理滿意99.29%高于對照組的87.14%、85.71%、92.14%（P<0.05）;觀察組護理缺陷1.43%、護理投訴0.00%低于對照組的6.43%、3.57%（P<0.05）。結論 消化內科科室施行PDCA循環模式管理護理人員的理論基礎和操作能力都有很大程度提高，對臨床護理管理工作有借鑒意義。

[關鍵詞] PDCA模式;臨床價值;護理風險;風險管理;護理管理;消化內鏡

[中圖分類號] R47 [文獻標識碼] A [文章編號] 1672-5654（2019）10（c）-0103-03

Evaluation of Clinical Value of PDCA Nursing Mode in Digestive Endoscopy Nursing

GU Mei-hua

Endoscopy Room， Nantong Cancer Hospital， Nantong， Jiangsu Province， 226001 China

[Abstract] Objective To investigate the clinical value of PDCA nursing model in digestive endoscopy nursing. Methods The PDCA risk management model was implemented as an observation group from January to December 2018. The routine nursing risk management was used as a control group from January to December 2017， and the gastrointestinal endoscopy routine nursing was performed in the control group. Intervention was adopted in the observation group. Results Observation group first-aid drug preparation （98.12±1.24）points， theoretical knowledge （96.30±2.08）points， instrumentation （95.35±3.12）points， safety management （97.07±1.87）points， disinfection isolation （96.43±2.11）points， operation technology （94.22± 3.02）points higher than the control group（90.28±4.34）points，（89.15±5.28）points， （87.27±7.25）points，（91.27±3.25）points， （89.28±5.15）points，（86.22±4.23）points（P<0.05）; observation group of the compliance was 97.86%， 99.29% was prepared before examination， and 99.29% of nursing satisfaction was higher than 87.14%， 85.71%， and 92.14% of the control group（P<0.05）. The nursing defect of the observation group was 1.43%， and the nursing complaint was 0.00% lower than the control group of 6.43% and 3.57%（P<0.05）. Conclusion The theoretical basis and operational ability of the nursing staff in the implementation of the PDCA cycle model in the Department of Gastroenterology have been greatly improved， which has reference significance for clinical nursing management.

[Key words] PDCA mode; Clinical value; Nursing risk; Risk management; Nursing management; Digestive endoscopy

目前消化內鏡在臨床中的應用越來越普遍，對于消化系統疾病的診斷、治療提供重要幫助，但是消化內鏡檢查作為一種侵入性的診斷技術，在實際應用過程中也存在一定風險，如引發穿孔、出血、感染等問題[1]，因此尋找有效措施來規避護理風險非常關鍵[2]。該研究于2018年1—12月將PDCA循環模式應用與消化內鏡護理中，在控制護理風險的發生上效果顯著，現報道如下。