PDCA循环管理在下肢静脉血栓栓塞症高危患者中的应用效果  

Application effect of PDCA cycle management in high risk patients with lower extremity venous thromboembolism

作　　者：朱冬梅[1] 张家雄[1] 刘贻尚 李健洪[1] ZHU Dongmei;ZHANG Jiaxiong;LIU Yishang;LI Jianhong(Department of Radiology and Intervention,Foshan Hospital of Traditional Chinese Medicine,Guangdong Province,Foshan528000,China)

机构地区：[1]广东省佛山市中医院放射介入科,广东佛山528000

出　　处：《中国当代医药》2022年第19期176-178,共3页China Modern Medicine

基　　金：广东省佛山市卫生健康局医学科研课题(20200374)。

摘　　要：目的探讨PDCA循环管理在下肢静脉血栓栓塞症(VTE)高危患者中的应用效果。方法选取2018年6月至2019年6月佛山市中医院放射介入科收治的97例下肢VTE高危患者为对照组,选取2020年6月至2021年6月收治的92例下肢VTE高危患者为观察组。对照组患者采用VTE常规护理,观察组患者采用PDCA循环管理,包括计划阶段、实施阶段、检查阶段和处理阶段。记录两组患者的血栓发生率、住院时间、院内死亡率、住院满意度、焦虑情况。结果观察组患者的深静脉血栓发生率低于对照组,住院时间短于对照组,差异有统计学意义(P<0.05)。两组患者的肺栓塞发生率、院内死亡率比较,差异无统计学意义(P>0.05)。观察组患者的住院总满意度高于对照组,差异有统计学意义(P<0.05)。护理前,两组患者的焦虑自评量表(SAS)评分比较,差异无统计学意义(P>0.05);护理后,两组患者的SAS评分低于护理前,且观察组患者的SAS评分低于对照组,差异有统计学意义(P<0.05)。结论对比常规护理,PDCA循环管理能有效降低下肢深静脉血栓高危患者VTE的发生率,缩短住院时间,提高患者对护理的满意度。Objective To study the application effect of PDCA cycle management in high risk patients with lower extremity venous thromboembolism(VTE).Methods A total of 97 high risk patients with lower extremity VTE admitted to Department of Radiology and Intervention in Foshan Hospital of Traditional Chinese Medicine from June 2018 to June 2019 were selected as the control group,and 92 high risk patients with lower extremity VTE from June 2020 to June 2021 were selected as the observation group.The control group received VTE routine care,the observation group received PDCA cycle management including planning stage,doing stage,checking stage and action stage.The incidence of thrombosis,length of hospital stay,in-hospital mortality,satisfaction with hospitalization and anxiety were recorded of the two groups.Results The incidence of deep venous thrombosis in the observation group was lower than that in the control group,and the length of hospital stay in the observation group was shorter than that in the control group,the difference was statistically significant(P<0.05).There were no significant differences in the incidence of pulmonary embolism and in-hospital mortality between the two groups(P>0.05).The total satisfaction with hospitalization of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Before nursing,there was no significant difference in SAS scores between the two groups(P>0.05).After nursing,the SAS score of the two groups was lower than that before nursing,and the SAS score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion Compared with the routine nursing,the PDCA cycle management can effectively reduce the incidence of VTE in high risk patients with lower extremity deep vein thrombosis,shorten the length of hospital stay,and improve the satisfaction of patients with nursing care.

关 键 词：PDCA循环管理 静脉血栓栓塞症 护理 预防 高危 

分 类 号：R473.5[医药卫生—护理学]