PDCA结合艾宾浩斯遗忘理论对血液病患者PICC置管后自我管理能力的影响  

The Effect of PDCA Combined with Ebbinghaus Forgetting Theory on the Self-management Ability of Patients with Blood Diseases after PICC Catheterization

作　　者：毛燕琴[1] 朱霞明[1] 陆茵[1] 葛永芹[1] 汤芳[1] 卫峰[1] MAO Yan-qin;ZHU Xia-ming;LU Yin;GE Yong-qin;TANG Fang;WEI Feng(Department of Hematology,the First Affiliated Hospital of Soochow University,Suzhou 215000,Jiangsu,China)

机构地区：[1]苏州大学附属第一医院血液科,江苏苏州215000

出　　处：《医学信息》2020年第19期183-185,共3页Journal of Medical Information

摘　　要：目的观察应用PDCA模式结合艾宾浩斯遗忘曲线理论开展的血液病PICC置管后健康教育模式在患者导管自我管理能力方面的应用效果。方法选择2018年1~6月在我科行PICC置管的73例血液病患者设为对照组,2018年7~12月在我科行PICC置管的71例血液病患者设为观察组,对照组PICC置管后进行常规健康教育,观察组在对照组基础上应用PDCA模式开展健康教育,并根据艾宾浩斯遗忘曲线规律在置管当天、第2天、1周、1个月给予多形式的强化健康教育,比较两组在PICC置管后导管自我管理能力及留置导管期间并发症发生情况。结果观察组患者在导管的日常观察、对维护的依从性、导管的管理信心、异常情况处理、信息获取、日常生活和运动管理等方面评分均高于对照组,差异有统计学意义(P<0.05);观察组在导管留置期间并发症发生率为5.63%,低于对照组的20.55%,差异有统计学意义(P<0.05)。结论以PDCA管理模式为理论框架,结合艾宾浩斯遗忘曲线理论特点所构建的健康教育模式能有效提高血液病PICC置管患者带管的健康知识水平,进而增强其对导管的自我防护和管理能力,降低置管后相关并发症的发生,具有一定的临床指导意义。Objective To observe the effect of the application of the PDCA model combined with the Ebbinghaus forgetting curve theory on the post-intubation health education model of PICC for blood diseases in patients with catheter self-management ability.Methods 73 patients with hematological diseases who underwent PICC catheterization in our department from January to June 2018 were selected as the control group,and 71 patients with hematological diseases who underwent PICC catheterization in our department from July to December 2018 were selected as the observation group.The control group was given routine health education after PICC was placed in the tube,and the observation group was given health education based on the PDCA model on the basis of the control group,and was given on the day,the second day,one week,and one month according to the Ebbinghaus forgetting curve law various forms of intensive health education were conducted to compare the self-management ability of the catheter after PICC catheterization and the occurrence of complications during the catheterization period between the two groups.Results The observation group had higher scores on catheter daily observation,compliance with maintenance,catheter management confidence,handling of abnormal situations,information acquisition,daily life and exercise management,etc.,the difference was statistically significant(P<0.05);The incidence of complications in the observation group during catheter indwelling was 5.63%,which was lower than 20.55%in the control group,the difference was statistically significant(P<0.05).Conclusion Taking the PDCA management model as the theoretical framework and combining the characteristics of Ebbinghaus forgetting curve theory to construct a health education model could effectively improve the level of health knowledge of PICC patients with blood diseases,thereby enhancing their self-protection and management of catheters ability to reduce the occurrence of related complications after intubation had certain clinical guiding signif

关 键 词：血液病 PDCA 艾宾浩斯遗忘理论 PICC置管 自我管理能力 

分 类 号：R473.73[医药卫生—护理学]