PDCA循环管理在危重患者保护性约束中的应用效果  

Application effect of PDCA cycle management in protective restraint of critically ill patients

作　　者：常海哲[1] 扈新妹[1] 张叶鑫 安国静 CHANG Haizhe;HU Xinmei;ZHANG Yexin;AN Guojing(Department of Emergency Medicine,Affiliated Hospital of Hebei University,Baoding 071000,China)

机构地区：[1]河北大学附属医院急诊医学科,河北保定071000

出　　处：《医学研究与教育》2024年第3期71-75,共5页Medical Research and Education

摘　　要：目的 探讨PDCA循环管理在危重患者保护性约束中的应用效果。方法 选取本院2022年11月27日至2023年6月23日收治的252例急诊重症监护室患者,随机分为对照组和研究组,每组126例,对照组予以常规保护性约束护理,研究组在常规的保护性约束护理基础上采用PDCA循环管理模式下的保护性约束护理。将两组患者的约束松紧适宜率、约束肢体位置正确率、约束部位皮肤正常率、约束肢体末梢血运良好率进行对比。结果 研究组的约束松紧适宜率、约束肢体位置正确率、约束部位皮肤正常率、约束肢体末梢血运良好率均高于对照组,差异均有统计学意义(P<0.05)。结论 在危重患者保护性约束护理中,PDCA循环管理模式能够有效提高约束松紧适宜率、约束肢体位置正确率、约束部位皮肤正常率、约束肢体末梢血运良好率。Objective To explore the application effect of PDCA cycle management in protective restraint of critically ill patients.Methods A total of 252 patients of Emergency Intensive Care Unit admitted to our hospital from November 27,2022 to June 23,2023 were divided into control group and study group according to computer random allocation method,with 126 cases in each group.The control group was given routine protective restraint nursing.Based on the general protective restraint nursing,the study group adopted the protective restraint nursing under the PDCA cycle management model.The appropriate rate of restraint relaxation,the correct rate of restraint limb position,the normal rate of skin at the restraint site and the good blood circulation rate of limb extremities were compared between the two groups.Results The suitable rate of restraint relaxation,the correct rate of restraint limb position,the normal rate of skin at the restraint site,and the good blood circulation rate of limb extremities in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion In protective restraint nursing of critically ill patients,PDCA cycle management mode can effectively improve the suitable rate of restraint relaxation,the correct rate of restraint limb position,the normal rate of skin in the restraint site,and the good blood circulation rate of limb extremities.

关 键 词：PDCA循环管理模式 保护性约束 危重患者 

分 类 号：R472.4[医药卫生—护理学]