PDCA循环管理对急诊脑外伤患者的影响  

Effect of PDCA cycle management on emergency brain injury patients

作　　者：丁红霞 DING Hongxia(Zhengzhou Hospital of Traditional Chinese Medicine,Zhengzhou,450000,China)

机构地区：[1]河南省郑州市中医院急诊科,450000

出　　处：《护理实践与研究》2023年第14期2135-2139,共5页Nursing Practice and Research

摘　　要：目的 探讨PDCA管理改进抢救流程对急诊脑外伤患者预后的影响。方法 选取2019年1月—2021年12月在医院接受治疗的80例急诊脑外伤患者为研究对象,按照组间基本特征具有可比性的原则将其分为对照组与观察组,每组40例。对照组采用常规抢救流程,观察组采用PDCA管理改进抢救流程。观察比较两组急救效率、预后情况、并发症发生率和脑神经功能评分,其中脑神经功能评分采用美国国立卫生研究院神经功能缺损量表(NIHSS)、中国脑卒中临床神经功能缺损程度评分量表(CSS)。结果 观察组院前急救时间、急诊救治时间、辅助检查时间、急诊至手术室转移时间短于对照组,差异有统计学意义(P<0.05)。观察组干预30 d后预后优于对照组,观察组并发症发生率低于对照组,观察组NIHSS评分低于对照组,CSS评分高于对照组,差异有统计学意义(P<0.05)。结论 PDCA管理对抢救流程进行改进,可有效缩短急诊脑外伤急救时间,改善预后,降低并发症发生率,进而促使患者脑神经功能恢复。Objective To explore the impact of improving the rescue process in PDCA management on the prognosis of emergency brain injury patients.Methods A total of 80 emergency brain injury patients who received treatment in hospitals from January 2019 to December 2021 were selected as the research subjects.They were divided into a control group and an observation group based on the principle of comparability of basic characteristics between groups,with 40 patients in each group.The control group used conventional rescue procedures,while the observation group used PDCA management to improve the rescue process.The first aid efficiency,prognosis,complication rate and cranial nerves function score were observed and compared between the two groups.The cranial nerves function score was scored by National Institutes of Health stroke scale(NIHSS)and China stroke clinical neurological deficiency scale(CSS).Results The observation group had shorter pre hospital emergency response time,emergency treatment time,auxiliary examination time,and transfer time from emergency to operating room compared to the control group,and the differences were statistically significant(P<0.05).The prognosis in the observation group after 30 days of intervention was better than that in the control group,the incidence of complications in the observation group was lower than that in the control group,the NIHSS score in the observation group was lower than that in the control group,and the CSS score was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The improvement of PDCA management on the rescue process can effectively shorten the first aid time of emergency brain injury,improve the prognosis,reduce the incidence of complications,and then promote the recovery of Cranial nerves function of patients.

关 键 词：PDCA管理 抢救流程 急诊脑外伤 预后 生存质量 影响 

分 类 号：R473.6[医药卫生—护理学]