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作 者:陆海霞[1] 赵景慧[1] LU Haixia;ZHAO Jinghui(Operating Room,Liaocheng People′s Hospital,Liaocheng Shandong 252000,China)
出 处:《中国卫生标准管理》2024年第11期182-185,共4页China Health Standard Management
摘 要:目的探讨介入手术室护理采用策划-实施-检查-措施(planning-implementation-inspection-measures,PDCA)循环方法做安全管理的实施效果及临床应用价值。方法选取2022年1-12月聊城市人民医院采取介入手术做疾病治疗患者80例,采用奇偶数形式随机分为2组,各40例。参比组做常规介入手术室护理安全管理,观察组以PDCA循环方法行介入手术室护理安全管理。对比2组的手术室护理缺陷事件发生率、手术室护理管理质量、护理满意度及术中应激反应发生率。结果观察组手术室护理缺陷事件发生率为5.00%,低于参比组的22.50%(χ^(2)=5.165,P<0.05)。观察组手术室护理管理质量使用自制量表评分高于对照组(P<0.05)。观察组护理满意度各项均高于参比组(P<0.05)。观察组术中应激反应发生率低于参比组(P<0.05)。结论介入手术室护理安全管理采用PDCA循环方法,能够有效管控手术室护理缺陷事件发生率,手术室护理管理质量良好,有较高管理干预有效性。Objective To study and analyze the implementation effect and clinical application value of using PDCA circulation method for safety management in interventional operating room nursing.Methods From January to December,a total of 80 patients from January to December 2022 in Liaocheng People′s Hospital were randomly divided into two groups in the form of even numbers,with 40 cases in each group.The reference group performed the routine safety management of nursing in the interventional operating room,while the observation group performed the incidence of operating room nursing defects.The incidence of operating room nursing defects,quality of operating room nursing management,nursing satisfaction,and incidence of intraoperative stress reactions between two groups were compared.Results The incidence of operating theatre care defects in the observation group was 5.00%,which was lower than 22.50%in the reference group(χ^(2)=5.165,P<0.05).The score of nursing management quality in the observation group was higher than the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the patients in the reference group(P<0.05).The incidence of intraoperative stress response in the observation group was lower than that in the reference group(P<0.05).Conclusion The use of PDCA cycle method in the safety management of interventional operating room nursing can effectively control the incidence of nursing defects in the operating room.The quality of operating room nursing management is good,and there is a high effectiveness of management intervention.
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