摘要
目的运用PDCA循环管理方法降低神经外科全麻手术患者术中低体温发生率,检验其应用效果。方法以指南、证据总结、专家共识为依托,结合我院特点和临床环境,构建低体温防护策略;采用回顾性分析法,以我院麻醉手术科一部神经外科全麻手术患者为研究对象,2020年4—6月进行PDCA循环干预前的基线调查,7—9月进行PDCA循环干预,比较PDCA循环干预前后神经外科手术患者术中低体温发生率。结果PDCA循环干预后,手术室形成了具有循证依据的低体温防护策略及审查指标,神经外科全麻手术患者术中低体温发生率由49.8%降低至32.7%,差异有统计学意义(P<0.05)。结论PDCA循环干预法能有效降低神经外科全麻手术患者术中低体温发生率。
Objective To explore the effect of reducing the incidence of intraoperative hypothermia for neurosurgery patients undergoing general anesthesia with PDCA circulation.Methods Based on guidelines,evidence summary,and expert consensus,combined with the characteristics of our hospital and clinical environment,hypothermia protection strategy was developed.A retrospective analysis was conducted in patients undergoing general anesthesia in neurosurgery department in our hospital.The baseline survey before PDCA cycle intervention was conducted from April to June 2020,and the PDCA cycle intervention was conducted from July to September 2020.The incidence of intraoperative hypothermia in neurosurgery patients before and after PDCA cycle intervention was compared.Results After PDCA cycle intervention,there were evidence-based hypothermia protection strategies and review indicators in the operating room.The incidence of intraoperative hypothermia in patients undergoing general anesthesia in neurosurgery was reduced from 49.8%to 32.7%(P<0.05),and the difference was statistically significant.Conclusion PDCA cycle can effectively reduce the incidence of hypothermia in patients undergoing general anesthesia in neurosurgery.
作者
张曼曼
段红香
周晓阳
邹振亚
茅金宝
ZHANG Man-man;DUAN Hong-xiang;ZHOU Xiao-yang;ZOU Zhen-ya;MAO Jin-bao(Dept.of Anesthesia Surgery,Section I,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)
出处
《护理学报》
北大核心
2021年第12期10-15,共6页
Journal of Nursing（China）
基金
山东省医药卫生科技发展计划项目(2019WS471)。
