基于戴明循环的风险管理模式在颅内动脉瘤术后腰大池引流患者中的应用  

作　　者：石敏敏 陈梅 袁永健 钟兴明[2] 

机构地区：[1]浙江省湖州康复医院,313000 [2]浙江省湖州市第一人民医院,313000

出　　处：《浙江临床医学》2024年第12期1863-1865,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省湖州市科技计划项目(2021GYB14)。

摘　　要：目的探讨基于戴明循环的风险管理模式在颅内动脉瘤术后腰大池引流患者中的应用效果。方法选取2022年1月至2023年12月收治的行颅内动脉瘤术且留置腰大池引流管的患者74例,按收治时间分组,2022年1月至12月收治的37例患者为对照组,2023年1月至12月收治的37例患者为观察组。对照组予常规护理,观察组在对照组基础上予基于戴明循环的风险管理模式。比较两组患者GCS评分、头痛持续时间、颈项强直持续时间、引流管留置时间、脑脊液压力及并发症情况。结果两组患者干预后头痛持续时间、颈项强直持续时间、引流管留置时间、脑脊液压力及并发症总发生率比较,差异有统计学意义(P<0.05);术后7d、14d,观察组GCS评分均高于对照组(P<0.05)。结论腰大池引流患者采用基于戴明循环的风险管理模式,能有效缓解患者的临床症状,降低患者的脑脊液压力和并发症的发生率,具有推广意义。Objective To explore the effect of risk management model based on Deming cycle in patients with lumbar cidemia drainage after intracranial aneurysm surgery.Methods From January 2022 to December 2023,74 patients with intracranial aneurysm and lumbar cistern drainage tube were selected.According to the admission time,37 patients admitted from January 2022 to December 2022 were selected as the control group,and 37 patients admitted from January 2023 to December 2023 were selected as the observation group.The control group was given routine nursing,and the observation group was given the risk management model based on the Deming cycle based on the control group.The GCS score,headache duration,neck stiffness duration,drainage tube indwelling time,cerebrospinal fluid pressure and complications were compared between the two groups.Results There were statistically significant differences in headache duration,neck stiffness duration,drainage tube indwelling time,cerebrospinal fluid pressure and total incidence of complications between the two groups after intervention(P<0.05).The GCS scores of the observation group were higher than those of the control group 7 and 14 days after operation(P<0.05).Conclusion The risk management model based on Deming cycle can effectively relieve the clinical symptoms,reduce the cerebrospinal fluid pressure and the incidence of complications in patients with lumbar cidemia,which is worthy of promotion.

关 键 词：戴明循环 颅内动脉瘤 腰大池引流 风险管理模式 

分 类 号：R473.6[医药卫生—护理学]