Volume 19 Issue 9
Sep.  2021
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HAN Min, ZHU Li, XU Bing. Observation on the effect of PDCA nursing model of integrated medical and nursing on newborn PICC nursing[J]. Chinese Journal of General Practice, 2021, 19(9): 1604-1607. doi: 10.16766/j.cnki.issn.1674-4152.002122
Citation: HAN Min, ZHU Li, XU Bing. Observation on the effect of PDCA nursing model of integrated medical and nursing on newborn PICC nursing[J]. Chinese Journal of General Practice, 2021, 19(9): 1604-1607. doi: 10.16766/j.cnki.issn.1674-4152.002122
shu

Observation on the effect of PDCA nursing model of integrated medical and nursing on newborn PICC nursing

doi: 10.16766/j.cnki.issn.1674-4152.002122
  • 1.

    Department of Hospital Infection Management, Maternal and Child Health Hospital of Huaibei City, Anhui Province, Huaibei, Anhui 235000, China

Funds:

 SK2020A0354

  • Received Date: 2021-03-19
    Available Online: 2022-02-15
    Abstract
  •   Objective  To explore the effects of the integrated PDCA nursing model of medical and nursing in the application of PICC nursing in newborns, so as to summarise safer and more effective measures related to PICC nursing management of severely ill newborns.  Methods  From January 1, 2018 to December 31, 2019, 59 severely ill newborns who were admitted to the Department of Pediatrics and PICC in Huaibei Maternal and Child Health Hospital of Anhui Province were selected as the research objects. Amongst them, 23 cases intubated from January to December 2018 were used as control group (using routine quality management), and 36 cases intubated from January to December 2019 were used as observation group (using the integrated PDCA nursing model of medical and nursing). The incidence of PICC-related bloodstream infection and PICC complications before and after model application was compared.  Results  In the control group, 23 severely ill newborns were placed with PICC, and the total number of days with the tube was 426 days. Amongst them, 4 cases of PICC-related bloodstream infection occurred, and the infection rate was 9.30‰; 36 cases of severely ill newborns with PICC were placed in the observation group, and the total number of days with the tube was 714 days. On the same day, only 1 case of PICC-related bloodstream infection occurred, with an infection rate of 1.40‰, and a statistical difference was observed in the rate of PICC-related bloodstream infection between the two groups (P < 0.05). In the control group, 2 cases (8.69%) of severe neonatal phlebitis (8.69%), 3 cases (13.04%) of bleeding and 1 case (4.34%) of tube block were observed. No broken tube was noted. In the observation group, 1 case (2.78%) of phlebitis without tube blockage, broken tube and blood oozing was observed. The related complications after PICC catheterization in the two groups were statistically different (P < 0.05).  Conclusion  The integrated PDCA nursing model of medical and nursing can effectively reduce the incidence of PICC-related bloodstream infections and complications in newborns, ensure the safety of neonatal treatment and improve nursing compliance. It is worthy of clinical promotion.

     

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