顧美華

[摘要] 目的 探討消化內(nèi)鏡護(hù)理中應(yīng)用PDCA護(hù)理模式臨床價(jià)值。方法 2018年1—12月實(shí)施PDCA風(fēng)險(xiǎn)管理模式作為觀察組，2017年1—12月常規(guī)護(hù)理風(fēng)險(xiǎn)管理作為對(duì)照組，對(duì)照組實(shí)施胃腸鏡檢查常規(guī)護(hù)理，觀察組實(shí)施PDCA循環(huán)護(hù)理干預(yù)。結(jié)果 觀察組護(hù)理人員急救藥物準(zhǔn)備（98.12±1.24）分、理論知識(shí)（96.30±2.08）分、儀器設(shè)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(shù)（94.22±3.02）分高于對(duì)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(zhǔn)備99.29%、護(hù)理滿意99.29%高于對(duì)照組的87.14%、85.71%、92.14%（P<0.05）;觀察組護(hù)理缺陷1.43%、護(hù)理投訴0.00%低于對(duì)照組的6.43%、3.57%（P<0.05）。結(jié)論 消化內(nèi)科科室施行PDCA循環(huán)模式管理護(hù)理人員的理論基礎(chǔ)和操作能力都有很大程度提高，對(duì)臨床護(hù)理管理工作有借鑒意義。

[關(guān)鍵詞] PDCA模式;臨床價(jià)值;護(hù)理風(fēng)險(xiǎn);風(fēng)險(xiǎn)管理;護(hù)理管理;消化內(nèi)鏡

[中圖分類號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 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(nèi)鏡在臨床中的應(yīng)用越來(lái)越普遍，對(duì)于消化系統(tǒng)疾病的診斷、治療提供重要幫助，但是消化內(nèi)鏡檢查作為一種侵入性的診斷技術(shù)，在實(shí)際應(yīng)用過(guò)程中也存在一定風(fēng)險(xiǎn)，如引發(fā)穿孔、出血、感染等問(wèn)題[1]，因此尋找有效措施來(lái)規(guī)避護(hù)理風(fēng)險(xiǎn)非常關(guān)鍵[2]。該研究于2018年1—12月將PDCA循環(huán)模式應(yīng)用與消化內(nèi)鏡護(hù)理中，在控制護(hù)理風(fēng)險(xiǎn)的發(fā)生上效果顯著，現(xiàn)報(bào)道如下。