Abstract
Objective To explore the application of PDCA nursing management in central venous catheter of elderly patients with malignant tumor patients. Methods Totally 120 cases of elderly cancer patients with PICC were divided into the observation group (from January 2015 to December 2015, n=60) and the control group (from January 2014 to December 2014, n=60) according to the time of admission from January 2014 to December 2015. Patients in the observation group were given PDCA nursing management, while patients in the control group were given routine nursing management. The PICC related infections, adverse nursing events occurrence and the nursing effect of two groups were compared. Results The PICC related infection, mechanical phlebitis, unplanned extubation rate, catheter slippage rate and catheter blockage rate of the observation group were lower than those of the control group (P<0.05). The compliance, the success rate of one-time puncture and the satisfaction rate of the observation group were higher than those of the control group (P<0.05); the indwelling catheter time was longer than the control group (P<0.05). The nurse communication ability, responsibility, PICC operation skills, service attitude, writing standards, PICC accident and other nursing quality score in the observation group were higher than the control group (P<0.05). Conclusions PDCA nursing management can effectively improve the nursing quality of elderly patients with malignant tumor who had PICC; reduce the PICC related infections and nursing accidents; prolong the time of indwelling catheter in patients; and improve the patient′s satisfaction rate. Key words: Elderly; Peripheral central venous catheter; Infection; Malignant tumor; PDCA nursing management
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