：Objective To investigate the effect of plan-do-check-act(PDCA)cycle in reducing the incidence of medical adhesive-related skin injuries(MARSI)in children with hematologic neoplasms. Methods 〓The management tools based on PDCA cycle were adopted to analyze current situation and potential reasons of MARSI in children with hematologic neoplasms. Corresponding measures were carried out to improve the nursing quality continuously. The incidence of MARSI in 50 children recruited before implementation of PDCA cycle(January to November, 2017)and in 50 children recruited after implementation of PDCA cycle(February to December, 2018)was compared. The MARSI-related disease awareness and preventive skills of nurses were evaluated. Results 〓Totally 402 times of chemotherapy were performed before implementation of PDCA, and 15(7.46%)times of MARSI were reported, which was higher than 2(0.96%)times of MARSI among 417 times of chemotherapy after implementation of PDCA(P0.05). Nurses achieved better outcomes in assessment MARSI-related disease awareness and preventive skills after implementation of PDCA(P0.01), as well as nursing quality assessment(P0.01). Conclusion 〓The PDCA cycle is an effective tool to improve quality of pediatric nursing, enhance the MARSI-related disease awareness and preventive skills of pediatric nurses, and reduce the risk of MARSI in children with hematologic neoplasms.
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