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目的:分析持续质量改进在降低乳腺癌化疗患者经外周静脉穿刺置入中心静脉导管(peripherally inserted central catheter,简称PICC)机械性静脉炎发生率中的作用。方法:选取我院2015年1月—2016年1月期间行PICC置管的80例乳腺癌化疗患者为研究对象,随机将其分为对照组和观察组,每组各40例,对照组采用常规护理方式,观察组实施持续质量改进方法。观察并比较两组患者PICC机械性静脉炎发生率。结果:观察组患者机械性静脉炎发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论:实施持续质量改进可以有效降低乳腺癌化疗患者PICC机械性静脉炎的发生率,以提高PICC导管应用的安全性能,提高医疗质量。
Objective: To analyze the role of continuous quality improvement in reducing the incidence of mechanical phlebitis in peripherally inserted central catheter (PICC) patients undergoing chemotherapy for breast cancer. Methods: 80 patients with breast cancer who underwent PICC catheterization between January 2015 and January 2016 in our hospital were randomly divided into control group and observation group, 40 cases in each group. The control group General nursing methods, observation group implementation of continuous quality improvement methods. The incidence of PICC phlebitis was observed and compared between two groups. Results: The incidence of mechanical phlebitis in the observation group was significantly lower than that in the control group, with statistical significance (P <0.05). Conclusion: The implementation of continuous quality improvement can effectively reduce the incidence of PICC in patients with breast cancer chemotherapy to improve the safety of PICC catheter application and improve the quality of medical care.