程少彬 黄秋红

【摘要】 目的：研究PDCA循环在PICU基础护理服务中的应用效果。方法：选取2016年8月-2018年8月笔者所在医院PICU收治的96例患儿作为研究对象，根据随机数字表法，将96例患儿分为对照组与观察组，各48例。选取医院PICU 22名护士，随机纳入对照组与观察组，各11名。对照组应用基础护理，观察组在基础护理中加入PDCA循环管理，对比两组护理效果。结果：观察组护理合格率高于对照组，护理不良事件发生率及护理纠纷率均低于对照组（P<0.05）;观察组护理质量评分、护理满意度均高于对照组，差异均有统计学意义（P<0.05）。结论：PDCA循环应用于PICU中，能够提高护理质量和护理满意度，减少护患纠纷，可以应用于临床。

【关键词】 PDCA循环 PICU 基础护理 应用效果

doi：10.14033/j.cnki.cfmr.2019.29.048 文献标识码 B 文章编号 1674-6805（2019）29-0-02

[Abstract] Objective： To study the application effect of PDCA cycle in PICU basic nursing service. Method： From August 2016 to August 2018， 96 children admitted to PICU in the authors hospital were selected as the study objects. According to the random number method， 96 children were divided into the control group and the observation group， 48 cases in each group. And 22 nurses from the hospital PICU were selected and randomly included into the control group and the observation group， 11 cases in each group. The control group was treated with basic nursing， and the observation group added PDCA cycle management in the basic nursing work. The nursing effects of the two groups were compared. Result： The nursing pass rate of the observation group was higher than that of the control group， and the incidence of nursing adverse events and nursing dispute rate were lower than those of the control group （P<0.05）. The nursing quality score and nursing satisfaction of the observation group were higher than those of the control group， and the differences were significant （P<0.05）. Conclusion： PDCA cycle applied in PICU can improve the quality of nursing and nursing satisfaction， reduce the disputes between nurses and patients， and can be applied in clinical practice.

[Key words] PDCA cycle PICU Basic nursing Application effect

First-authors address： The Maternal and Child Health Hospital of Quanzhou City·Childrens Hospital， Quanzhou 362000， China

PDCA循環法包括计划P（plan）、实施D（do）、检查C（check）、处理A（action），通过对4个不同阶段进行质量管理，可以提高病房护理管理水平。随着护理管理工作的深入，PDCA用于院内PICU护理服务中的效果已成为评价儿科护理质量的标志，具有重要意义[1]。由于PICU中的患儿没有家长的陪护，且病情危重，变化较快，入住PICU后缺乏活动，血液循环较差，无法表达自身感受，如果临床基础护理质量不高，就会降低家长的满意度，引发护患纠纷[2]。为提高基础护理质量和满意度，减少医疗纠纷，临床可将PDCA循环管理引进PICU中。本研究通过运用PDCA循环将基础护理工作进一步深入，提高护理质量，为PICU患儿提供更优质的护理服务，分析如下。

1 资料与方法

1.1 一般资料

选取2016年8月-2018年8月笔者所在医院PICU收治的96例患儿作为研究对象。纳入标准：均符合入住PICU的标准。排除标准：合并肝肾功能不全;资料不完整;患儿及家长不愿配合治疗和护理。根据随机数字表法，将96例患儿分作对照组与观察组，各48例。……