PDCA循环法在神经外科病人静脉血栓栓塞症预防中的应用  

Application of the PDCA cycle in the prevention of venous thromboembolism in neurosurgical patients

作　　者：周斌彬 周俊[1] 钟果园 李曼 陈金华 丁琼 常旭 张愉 ZHOU Bin-bin;ZHOU Jun;ZHONG Guo-yuan;LI Man;CHEN Jin-hua;CHANG Xu;ZHANG Yu(Department of Neurosurgery,The Affiliated Changsha Central Hospital,Hengyang Medical School,University of South China,Hunan 410000,China)

机构地区：[1]南华大学附属长沙中心医院神经外科,长沙410000

出　　处：《中国临床神经外科杂志》2024年第6期362-364,368,共4页Chinese Journal of Clinical Neurosurgery

摘　　要：目的探讨PDCA循环法在神经外科病人静脉血栓栓塞症(VTE)预防中的应用效果。方法2022年1~6月收治神经外科病人885例(观察组),按照PDCA循环法的4个阶段进行VTE的预防和治疗。以2021年7~12月收治的813例病人为对照组,予以神经外科常规护理。比较两组VTE的评估率和发生率。结果观察组VTE评估率(99.6%)明显高于对照组(96.7%;P<0.001)。观察组VTE发生率(1.36%)明显低于对照组(3.44%;P=0.005)。结论实施PDCA循环能有效地提高神经外科病人VTE的评估率、降低VTE的发生率。Objective To explore the application effect of the PDCA cycle in the prevention of venous thromboembolism(VTE)in neurosurgical patients.Methods The PDCA cycle was performed on 885 neurosurgical patients admitted from January to June 2022(observation group)to prevent VTE.The routine nursing care in neurosurgery was performed on 813 neurosurgical patients admitted from July to December 2021 were taken as the control group.The assessment rate and incidence of VTE in the two groups were compared at discharge.Results The assessment rate of VTE in the observation group(99.6%)was significantly higher than that(96.7%)in the control group(P<0.001).The incidence of VTE in the observation group(1.36%)was significantly lower than that(3.44%)in the control group(P=0.005).Conclusion The implementation of the PDCA cycle can effectively enhance the assessment rate of VTE and decrease the incidence of VTE in neurosurgical patients.

关 键 词：神经外科病人 静脉血栓栓塞症 护理 PDCA循环法 

分 类 号：R651[医药卫生—外科学] R473.6[医药卫生—临床医学]