摘要
目的:观察PDCA循环理念下的护理管理预防胺碘酮所致静脉炎的效果。方法:回顾性分析2020年1—6月该院实施常规护理管理的30例心律失常患者的临床资料,纳入对照组;回顾性分析2020年7—12月该院实施PDCA循环理念下的护理管理的30例心律失常患者的临床资料,纳入观察组。比较两组静脉炎发生率、静脉炎发生患者疼痛[视觉模拟评分法(VAS)]评分、护理管理质量评分和满意度。结果:观察组静脉炎发生率为6.67%(2/30),低于对照组的30.00%(9/30),差异有统计学意义(P<0.05);管理后7 d、1个月,观察组静脉炎发生患者VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组护理服务、操作技能、工作效率、宣教及时性等护理管理质量评分均高于对照组,差异有统计学意义(P<0.05);观察组满意度为90.00%(27/30),高于对照组的66.67%(20/30),差异有统计学意义(P<0.05)。结论:PDCA循环理念下的护理管理应用于胺碘酮治疗心律失常患者可降低静脉炎发生率和VAS评分,提高护理管理质量评分和满意度,效果优于常规护理管理。
Objective:To observe effects of PDCA cycle concept-based nursing management on prevention of phlebitis caused by Amiodarone.Methods:The clinical data of 30 patients with arrhythmia who underwent routine nursing management in this hospital from January to June 2020 were retrospectively analyzed and they were included in control group.The clinical data of 30 patients with arrhythmia who underwent PDCA cycle concept-based nursing management in this hospital from July to December 2020 were retrospectively analyzed and they were included in observation group.The incidence of phlebitis,the pain[visual analogue scale(VAS)]score of the phlebitis patient,the nursing management quality score,and the satisfaction were compared between the two groups.Results:The incidence of phlebitis in the observation group was 6.67%(2/30),which was lower than 30.00%(9/30)in the control group,and the difference was statistically significant(P<0.05).7 days and 1 month after the management,the VAS scores of the phlebitis patient of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of nursing management quality such as nursing service,operation skills,work efficiency,timeliness of propaganda and education in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the satisfaction of the observation group was 90.00%(27/30),which was higher than 66.67%(20/30)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The PDCA cycle concept-based nursing management for the arrhythmia patients treated by Amiodarone can reduce the incidence of phlebitis and the VAS scores and improve the quality of nursing management scores and the satisfaction.Moreover,it is superior to the routine nursing management.
作者
王小慧
WANG Xiaohui(st Department of Internal Medicine of Minhang Hospital of Guangdong Second Provincial General Hospital,Guangzhou 510405 Guangdong,China)
出处
《中国民康医学》
2023年第21期169-172,共4页
Medical Journal of Chinese People’s Health
