PDCA循环管理在先天性心脏病合并肺动脉高压患儿围术期中的应用效果

目的探讨PDCA循环管理模式应用于先天性心脏病合并肺动脉高压患儿护理中的临床效果。方法回顾性分析2011年5月～2013年6月于本院确诊并接受诊断治疗的先天性心脏病合并肺动脉高压患儿60例，将2011年5月～2012年6月进行治疗的患儿作为对照组，采用常规护理方式，将2012年7月～2013年6月进行治疗的患儿作为实验组，在常规护理方式的基础上采用PDCA循环管理模式进行管理，观察期结束后，比较两组患儿的临床效果。结果实验组出现肺动脉高压的患儿比例明显小于对照组，术后并发症的发生率也明显低于对照组，差异有统计学意义（P〈0．05）。结论将PDCA循环管理模式应用于先天性心脏病合并肺动脉高压患儿常规护理中．可以有效降低患儿的肺动脉收缩压与血压收缩比，抑制患儿术后并发症的发生，为先天性心脏病合并肺动脉高压患儿围术期的护理提供重要参考。

The application effect of PDCA cycle management in perioperative period of children with congenital heart disease and pulmonary hypertension

Objective To explore the clinical effect of PDCA cycle management model applied in nursing children with congenital heart disease and pulmonary hypertension. Methods 60 cases of children with congenital heart disease and pulmonary hypertension diagnosed and treated in our hospital from May 2011 to June 2013 were retrospective analyzed. The children treated from May 2011 to June 2012 were selected as control group,and they were treated with routine nursing method;while the children treated from July 2012 to June 2013 were selected as experimental group,and they were treated with PDCA cycle management based on the routine nursing method.The clinical effects of two groups were compared after the observation period. Results The proportion of children with pulmonary hypertension in the experi- mental group was significantly lower than that of the control group,the incidence of postoperative complications was also significantly lower than that of the control group,the differences were all statistically significant （P〈0.05）. Conclusion The application of PDCA cycle management model in routine nursing children with congenital heart disease and pul- monary hypertension,which can effectively decrease the contraction ratio of pulmonary artery systolic pressure and blood pressure,suppress the occurrence of postoperative complications and provide important reference for？nursing peri- operative children with congenital heart disease and pulmonary hypertension.