摘要
目的评价PDCA管理在泌尿外科中各类管道的护理应用中的应用效果。方法筛选泌尿外科住院患者分别纳入常规组(n=139)与观察组(n=162),前者给予常规护理,管理主要为经验式管理,后者通过计划、实施、检查与处理环节,实施PDCA管理,统计学对比相关指标。结果常规组非计划拔管发生率7.91%、堵管发生率11.51%、导管相关并发症发生率9.35%、导管相关不良事件合计例次率28.78%,高于观察组1.23%、2.47%、1.23%、4.94%,差异具有统计学意义(P<0.05);常规组患者满意度、护士满意度低于观察组,差异具有统计学意义(P<0.05)。结论泌尿系导管管理亟待加强,进行PDCA循环管理,有助于降低导管相关不良事件发生风险,获得患者广泛好评。
Objective To evaluate the application effect of nursing management in the department of Urology of PDCA in the pipeline. Methods Selected patients hospitalized in department of urology and divided into control group(n=139) and observation group(n=162), the former received routine care, the latter through planning, implementation, inspection and processing sectors, implemented PDCA management. Results The routine group unplanned extubation rate was 7.91%, the plugging rate was 11.51%, catheter related complication rate was 9.35%, the total cases of catheter related adverse event rate was 28.78%, higher than the observation group 1.23%, 2.47%, 1.23%, 4.94%, the difference was statistically significant(P〈0.05), routine group patient satisfaction, nurse satisfaction were lower than that of observed group, the difference was statistically significant(P〈0.05). Conclusion The urgent need to strengthen the management of urinary catheter, PDCA circulation management helps to reduce the risk of catheter related adverse events.
出处
《中国卫生标准管理》
2015年第16期247-248,共2页
China Health Standard Management
关键词
泌尿外科
导管相关并发症
管道护理
风险管理
Department of urology
Catheter related complications
Nursing
Risk management