团体标准下PDCA循环在住院患者身体约束管理中的应用效果  

Application Effect of PDCA Cycle in Physical Restraint Management of Inpatients Under Group Standard

作　　者：徐艳[1] 陈晓颖 林华英 林淼 XU Yan;CHEN Xiaoying;LIN Huaying;LIN Miao(Department of Neurology,Fujian Provincial Governmental Hospital/Affiliated Hospital of Fujian Health College,Fuzhou Fujian 350003,China)

机构地区：[1]福建省级机关医院/福建卫生职业技术学院附属医院神经内科,福建福州350003

出　　处：《中国卫生标准管理》2025年第2期1-4,共4页China Health Standard Management

摘　　要：目的了解福建省级机关医院患者身体约束的现状,探讨计划-实施-检查-处理(plan-do-check-act,PDCA)循环对提升护士知识水平、规范住院患者身体约束管理的应用效果。方法回顾性分析福建省级机关医院2020年1—12月因约束不规范引起的不良事件和身体约束质量检查结果,同时运用中华护理学会颁布的《住院患者身体约束护理》团体标准为实践指南,自行设计调查问卷,对福建省级机关医院临床护理人员进行约束掌握调查,并分析其原因。将2020年1—12月身体约束患者252例次纳入对照组,另选2021年1—12月身体约束患者252例次纳入干预组。对照组实施常规约束护理,干预组应用团体标准下PDCA循环对身体约束进行持续改进,比较干预前后临床护理人员对约束相关知识的掌握情况、住院患者身体约束评估正确率、身体约束实施正确率及身体约束不规范引起的不良事件等。结果干预后,临床护理人员对约束相关知识掌握情况的总得分为(60.09±20.26)分,高于干预前的(50.27±18.79)分,差异有统计学意义(P<0.05)。干预组住院患者身体约束评估正确率和身体约束实施正确率分别为97.27%、97.08%,高于对照组的87.62%、88.49%,差异有统计学意义(P<0.05)。干预组因身体约束不规范引起的不良事件总发生率为13.33%,低于对照组的66.67%,差异有统计学意义(P<0.05)。结论将PDCA循环应用于住院患者身体约束管理中能提升护理人员对约束相关知识的掌握,提高约束的合格率,降低身体约束率,减少约束不规范带来的不良后果。Objective To investigate the status quo of physical restraint of patients in Fujian Provincial Governmental Hospital,and to explore the effect of plan-do-check-act(PDCA)circulation on improving nurses'knowledge and standardizing the management of physical restraint of patients.Methods Retrospective analysis of the adverse events and physical restraint quality test results in Fujian Provincial Governmental Hospital from January to December 2020,at the same time,a self-designed questionnaire was used to investigate the restraint mastery of clinical nursing staff in Fujian Provincial Governmental Hospital,using the group standard of"In-Patient Physical Restraint Nursing"issued by the Chinese Nursing Association as the Practice Guide,and analyze the reason.A total of 252 cases of patients with physical restraint from January to December 2020 were included in the control group,and another 252 cases of patients with physical restraint from January to December 2021 were included in the intervention group.The control group was given routine restraint nursing,and the intervention group was given continuous improvement of physical restraint by PDCA cycle under group standard.The knowledge of clinical nurses on restraint,the correct rate of physical restraint assessment in inpatients,the correct rate of physical restraint implementation and the adverse events caused by irregular physical restraint were compared before and after the intervention.Results After the intervention,the total score of clinical nurses'mastery of constraint related knowledge was(60.09±20.26)points,which was higher than(50.27±18.79)points before the intervention,and the difference was statistically significant(P<0.05).The correct rates of physical restraint assessment and physical restraint implementation were 97.27%and 97.08%in the intervention group,respectively,which were higher than 87.62%and 88.49%in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse events caused by irregular physical re

关 键 词：团体标准 计划-实施-检查-处理循环 住院患者 身体约束 评估工具 质量管理 

分 类 号：R197[医药卫生—卫生事业管理]