PDCA循环对提高腹腔镜下胃癌根治术中隔离技术执行率的应用研究  

Application of PDCA cycle to raise the implementation rate of no-touch isolation technique during laparoscopic radical gastrectomy for gastric cancer

作　　者：张丽[1] 齐莉恩 王晓艳[1] 张静[1] 代肖 王明玲[1] 韩猛[1] Zhang Li;Qi Lien;Wang Xiaoyan;Zhang Jing;Dai Xiao;Wang Mingling;Han Meng(Xuzhou Central Hospital,Xuzhou 221000,Jiangsu Province,China)

机构地区：[1]徐州市中心医院,江苏省徐州市221000

出　　处：《中国医疗管理科学》2024年第4期41-46,共6页Chinese Journal Of Medical Management Sciences

基　　金：徐州市科技项目(KC23070)。

摘　　要：目的研究PDCA循环对提高腹腔镜下胃癌根治术中隔离技术执行率的应用效果。方法组建护理质量持续改进小组,选定活动主题为提高腹腔镜下胃癌根治术中隔离技术执行率,调查2022年10月16日至2023年3月11日在我院手术室开展腹腔镜下胃癌根治术的手术患者共84例,针对导致术中隔离技术执行率低的原因进行分析,拟定对策并实施,效果确认后列为隔离技术质量标准。结果通过这期PDCA活动,腹腔镜下胃癌根治术中隔离技术执行率由实施前的67.8%提高至91.7%(P<0.001);器械摆台规范率由78.0%提高至97.0%(P<0.001);医生满意度评分由(82.0±3.7)分提高到(98.1±4.0)分。结论PDCA活动提升了手术室护士腹腔镜手术隔离技术的执行率,促进了手术室亚专科手术配合中隔离技术的发展,得到了满意的手术治疗效果。Objective To investigate the effectiveness of PDCA cycle in raising the implementation rate of no-touch isolation technique(NTIT)during laparoscopic radical gastrectomy for gastric cancer.Methods A quality continuous improvement team was set up,focusing on enhancing the adherence to NTIT during laparoscopic radical gastrectomy.The team investigated 84 patients who underwent the procedure for gastric cancer at our hospital between October 16,2022 and March 11,2023.Factors contributing to the suboptimal implementation of NTIT were identified,and interventions were developed,applied,and evaluated.Results As a result of the PDCA initiative,the compliance rate for NTIT during laparoscopic radical gastrectomy increased significantly from 67.8%to 91.7%(P<0.001).Additionally,the adherence to instrument setup standards significantly increased from 78.0%to 97.0%(P<0.001).Moreover,the physician satisfaction scores rose from 82.0±3.7 to 98.1±4.0.Conclusion The PDCA initiative enhanced the adherence to NTIT during the laparoscopic surgery among operating room nurses,promoted the advancement of NTIT in specialized surgical teamwork within the operating room,and yielded satisfactory surgical outcome.

关 键 词：PDCA循环 腹腔镜下胃癌根治术 隔离技术 器械摆台规范 

分 类 号：R473.73[医药卫生—护理学]