PDCA循环结合微信平台在PICC导管门诊患者健康教育中的应用研究

发布时间：2018-01-31 04:15

本文关键词： PDCA循环微信平台经外周静脉穿刺中心静脉置管导管门诊健康教育　出处：《护士进修杂志》2016年14期 　论文类型：期刊论文

【摘要】：目的探讨PDCA循环结合微信平台在PICC导管门诊患者健康教育中的应用效果。方法选取180例在PICC导管门诊行PICC置管的患者,在开通微信平台前选取60例患者作为常规组,采用常规健康教育方法。开通微信平台后,按入组的先后顺序采用随机数字表法将其分为微信组以及PDCA加微信组,每组各60例,分别采用微信平台式健康教育和微信平台结合PDCA循环式的健康教育。在干预前和干预后一周评估三组患者的PICC相关知识水平,在干预后一个月评估三组患者的导管维护依从性和自我护理能力。结果干预后三组的PICC相关知识水平、导管维护依从性和自我护理能力差异均有统计学意义(P0.001);在相关知识水平方面,PDCA加微信组高于微信组(P0.001)和常规组(P0.001),微信组高于常规组(P0.001);导管维护依从性方面,PDCA加微信组(P0.001)和微信组(P0.01)均高于常规组;自我护理能力方面,PDCA加微信组高于常规组(P0.05)。结论 PDCA循环结合微信平台的健康教育方式,可提高PICC导管门诊患者的PICC相关知识水平、导管维护依从性和自我护理能力,其应用效果优于单纯使用微信平台的健康教育方式。
[Abstract]:Objective to investigate the effect of PDCA circulation combined with WeChat platform in health education of PICC catheter outpatients. Methods 180 patients with PICC catheter were selected from PICC catheter clinic. 60 patients were selected as routine group before the opening of WeChat platform, and the routine health education method was adopted. After the opening of WeChat platform, 60 patients were selected as routine group. They were divided into WeChat group and PDCA + WeChin group with 60 cases in each group. WeChat platform health education and WeChat platform combined with PDCA circulatory health education were used to evaluate the level of PICC related knowledge in the three groups before and one week after intervention. One month after intervention, the compliance of catheter maintenance and self-care ability of the three groups were evaluated. Results the PICC related knowledge level of the three groups after intervention was evaluated. There were significant differences in catheter maintenance compliance and self-care ability between the two groups (P 0.001). PDCA + WeChin group was higher than WeChat group (P 0.001) and routine group (P 0.001), WeChin group was higher than routine group (P 0.001). The compliance of PDCA plus WeChin group (P0.001) and WeChin group (P0.01) were higher than that of routine group. The self-care ability of PDCA plus WeChat group was higher than that of routine group P0.05.Conclusion the health education mode of PDCA cycle combined with WeChat platform is higher than that of routine group. It can improve the knowledge level of PICC, the compliance of catheter maintenance and self-nursing ability of PICC catheter outpatients, and its application effect is better than that of health education only using WeChat platform.
【作者单位】：广东省梅州市人民医院;
【分类号】：R472
【正文快照】： 经外周静脉穿刺中心静脉置管(Peripherally in-serted central catheter,PICC)已广泛用于肿瘤化疗、肠外营养支持、早产儿静脉通路建立等方面[1]。留置PICC导管后,需要定时进行导管维护,以保持导管通畅和功能良好,保证导管使用寿命及预防并发症。而使用PICC导管的患者通常需要

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