基于柏拉图的风险控制管理在降低肿瘤患者 PICC置管并发症中的应用效果

来源:用户上传      作者:杨莹莹

　　[摘要]目的探基于柏拉图的风险控制管理在降低肿瘤患者经外周静脉穿刺中心静脉（PICC）置管并发症中的应用效果。方法选取2016年5月至2021年5月在荆州市第三人民医院行 PICC 置管的76例早中期肿瘤患者，随机分为观察组和对照组，每组各38例。对照组患者采用常规 PICC 置管护理管理，观察组患者采用基于柏拉图的风险控制管理。观察两组患者 PICC 置管并发症发生情况，比较两组患者对两种护理管理的满意度。并在管理方案实施前后，对风险控制小组成员进行业务水平的评估。结果观察组的并发症总发生率为13.16%，低于对照组的36.84%（ P <0.05）;观察组患者对置管、维护以及健康宣教等方面的满意度评价优于对照组（ P <0.05）;风险控制小组的理论知识和操作能力在实施管理后均高于管理前（ P <0.05）。结论基于柏拉图的风险控制管理可有效降低肿瘤患者 PICC 置管并发症的发生率，提高整体护理管理质量，同时提高工作人员的业务水平。
　　[关键词]柏拉图;风险控制管理;肿瘤患者; PICC 置管;并发症
　　[中图分类号] R473.73[文献标识码] A [文章编号]2095-0616（2022）15-0160-04
　　Effect of Pareto-based risk control management in reducing PICC placement complications in tumor patients
　　YANGYingying
　　Department of Respiratory Medicine， the Third People's Hospital of Jingzhou City， Hubei， Jingzhou 434000，China
　　[Abstract] Objective To explore the effect of Pareto-based risk control management in reducing the complications of peripherally inserted central catheter （PICC） in tumor patients. MethodsA total of 76 early and mid-stage tumor patients who underwent PICC placement in the Third People's Hospital of Jingzhou City from May 2016 to May 2021 were selected and randomly divided into the observation group and the control group， with 38 patients in each group. Patients in the control group received conventional PICC placement nursing management， while patients in the observation group received Pareto-based risk control management. The incidence of PICC placement complications in the two groups was observed， and the differences in satisfaction between the two groups of patients with the two types of nursing management were compared . Besides， the professional level of risk control team members was assessed before and after the implementation of the management schemes. Results The total incidence of complications in the observation group was 13.16%， which was lower than 36.84% in the control group （P <0.05）. The satisfaction rate of patients with placement， maintenance and health education in the observation group was higher than that in the control group （P <0.05）. The mastery of theoretical knowledge and operational ability of the risk control team members were higher after the implementation of management than before （P <0.05）. Conclusion Pareto-based risk control management can effectively reduce the incidence of PICC placement complications in tumor patients， improve the overall nursing management quality， as well as upgrade the professional level of staff.

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