某三甲医院运用PDCA降低手术室术中压力性损伤发生率的效果观察  

Effect of PDCA in Reducing the Incidence of Pressure Injury in Operating Room in a Grade A Tertiary Hospital

作　　者：张薇[1] 曾燕[2] 谢萍[1] 龚荣花[1] 李琴[1] 王秀蓉[1] 张在萍[1] Zhang Wei;Zeng Yan;Xie Ping;Gong Ronghua;Li Qin;Wang Xiurong;Zhang Zaiping(Wound and Stoma Care Center,North Jiangsu Peoples’Hospital,Yangzhou 225001,China;Department of Urinary Surgery,North Jiangsu Peoples’Hospital,Yangzhou 225001,China)

机构地区：[1]江苏省苏北人民医院伤口造口护理中心 [2]江苏省苏北人民医院泌尿外科,江苏扬州225001

出　　处：《江苏卫生事业管理》2019年第11期1405-1407,共3页Jiangsu Health System Management

基　　金：江苏现代医院管理研究会基金(JSY-1-2018-104)

摘　　要：目的:探讨PDCA在降低手术室术中压力性损伤发生率的应用效果。方法:运用PDCA质量管理方法,对术中压力性损伤进行质量管理与追踪,比较PDCA前与PDCA后手术室术中压力性损伤的发生率与手术室护士术中压力性损伤相关知识得分。结果:PDCA实施前,术中压力性损伤的发生率为0.342‰,手术室护士术中压力性损伤相关知识认知得分66.01±30.29分;PDCA实施后,术中压力性损伤的发生率下降至0.043‰,手术室护士术中压力性损伤相关知识认知得分86.54±24.23分;PDCA实施前后术中压力性损伤的发生率、手术室护士术中压力性损伤相关知识认知得分的差异均有统计学意义(P <0.05)。结论:运用PDCA质量管理能有效降低手术室术中压力性损伤的发生率,提高手术室护士对压力性损伤知识的认知度,提高预防术中压力性损伤的护理质量。Objective:To investigate the effect of PDCA in reducing the incidence of pressure injury in operating room. Methods:The quality management and tracking of intra-operative stress injury was carried out by using PDCA quality management method.. The incidence rate of intra-operative stress injury was recorded and compared before or after using PDCA. Results:After using PDCA, the incidence rate of intraoperative stress injuries was lower than that before using PDCA,and the knowledge and cognition score of operating room nurses was significantly increased(P < 0.05). Conclusions:PDCA quality management can effectively reduce the incidence rate of pressure injury in the operating room,and improve the awareness of operating room nurses on the knowledge of pressure injury,and improve the nursing quality of intra-operative pressure injury.

关 键 词：手术室 术中压力性损伤 PDCA循环 质量管理 

分 类 号：R197[医药卫生—卫生事业管理]