Effect of continuous quality improvement on prevention and control of upper limb venous thrombosisafter PICC catheterization in patients with hematologic tumors
持续质量改进对血液肿瘤患者PICC置管后上肢静脉血栓防控的效果

摘要

目的 探讨持续质量改进在血液肿瘤患者PICC置管后上肢静脉血栓防控中的应用效果。方法 选取2021年12月至2022年6月期间我院收治的99例行PICC置管治疗的血液肿瘤患者为对象。按随机数分法将其分为对照组与观察组各49例，分别实施常规临床护理及持续质量改进护理模式，对比不同护理方案下的两组患者PICC置管后上肢静脉血栓发生情况及护理满意度。结果 不同护理方案下，两组患者PICC置管后上肢静脉血栓发生情况及对护理工作满意度情况差异显著，且观察组各项指标均优于对照组。观察组患者PICC置管后上肢静脉血栓发生率为2.00%（1/50）；对照组患者PICC置管后上肢静脉血栓发生率为16.33%(8/49），观察组显著低于对照组，数据差异具备统计学意义（P＜0.05）；观察组患者对护理工作满意度为96%（48/50），显著高于对照组的73.46%（36/49），观察组显著优于对照组，组间差异有统计学意义（P＜0.05）。结论 血液肿瘤患者护理管理中科学应用持续质量改进模式可显著降低患者PICC置管后上肢静脉血栓风险，提升护理满意度，具有较高临床应用价值。

Abstract

Objective To investigate the application effect of continuous quality improvement in the prevention and control of upper extremity venous thrombosis after PICC catheterization in patients with hematological tumors.
Methods A total of 99 patients with hematological tumors treated with PICC catheterization in our hospital from May to November 2020 were selected as the objects. According to the random number method, the patients were divided into the control group and the observation group with 49 cases in each group. The routine clinical nursing and continuous quality improvement nursing mode were implemented respectively. The occurrence of upper limb venous thrombosis and nursing satisfaction were compared between the two groups after PICC catheterization under different nursing plans.
Results Under different nursing programs, there were significant differences in the occurrence of upper limb venous thrombosis and nursing satisfaction between the two groups after PICC catheterization, and the indexes of the observation group were better than those of the control group. The incidence of upper limb venous thrombosis after PICC catheterization in the observation group was 2.00% (1/50). The incidence of upper extremity venous thrombosis after PICC catheterization in the control group was 16.33%(8/49), which was significantly lower in the observation group than in the control group (P < 0.05). The patients' satisfaction with nursing work in the observation group was 96% (48/50), which was significantly higher than 73.46% (36/49) in the control group, and the observation group was significantly better than the control group, and the difference between the groups was statistically significant (P < 0.05).
Conclusion  s The scientific application of continuous quality improvement model in the nursing management of hematological tumor patients can significantly reduce the risk of upper limb venous thrombosis after PICC catheterization, improve nursing satisfaction, and has high clinical application value.