住院患者静脉血栓栓塞症PDSA循环防治管理效果研究  

Effect of PDSA circulation in prevention and management of venous thromboembolism in hospitalized patients

作　　者：秦霞[1] 华亚芳[2] 金学勤[2] QIN Xia;HUA Yafang;JIN Xueqin(Department of Vascular Surgery,2.Department of Nursing,Kunshan Hospital Affiliated to Jiangsu University,Kunshan,Jiangsu,215300)

机构地区：[1]江苏大学附属昆山医院血管外科,江苏昆山215300 [2]江苏大学附属昆山医院护理部,江苏昆山215300

出　　处：《实用临床医药杂志》2021年第21期70-73,共4页Journal of Clinical Medicine in Practice

基　　金：江苏省昆山市社会发展科技专项(KS1968)。

摘　　要：目的探讨PDSA循环在住院患者静脉血栓栓塞症(VTE)防治管理中的效果。方法选取2019年1—12月住院患者61136例为对照组,2020年1—12月住院患者55118例为观察组。对照组采用常规管理办法,观察组采用PDSA循环管理模式。比较2组患者VTE预防措施落实率、中高危患者VTE预防措施落实率、VTE发生率。结果落实PDSA循环管理模式后,VTE预防措施落实率由42.26%提高至76.32%,中高危患者物理预防措施落实率由38.24%提高至70.26%,VTE发生率由4.04‰降低至2.99‰,差异有统计学意义(P<0.05)。结论PDSA循环管理规范了VTE防治的各环节流程,提高了预防措施落实率,深化了防治质量内涵,降低了VTE发生率,保证了患者安全。Objective To explore the effect of PDSA circulation in the prevention and management of venous thromboembolism(VTE)in hospitalized patients.Methods A total of 61136 hospitalized patients from January to December 2019 were selected as control group,and 55118 hospitalized patients from January to December 2020 were selected as observation group.The control group was treated with conventional management measures,while the observation group was treated with PDSA circulation management mode.Implementation rate of preventive measures for VTE,implementation rate of preventive measures for cases with moderate to high risk of VTE and the incidence rate of VTE were compared between the two groups.Results After the implementation of PDSA circulation management mode,the implementation rate of preventive measures for VTE increased from 42.26%to 76.32%,the implementation rate of physical preventive measures for cases with moderate to high risk increased from 38.24%to 70.26%,and the incidence rate of VTE decreased significantly from 4.04‰to 2.99‰(P<0.05).Conclusion PDSA circulation management standardizes each process of prevention and control for VTE,increases the implementation rate of preventive measures,deepens the connotation of prevention and control qualities,reduces the incidence of VTE,and ensures the safety of patients.

关 键 词：PDSA循环 住院患者 静脉血栓栓塞症 落实率 

分 类 号：R473.6[医药卫生—护理学] R472.9[医药卫生—临床医学]