摘要
目的:探讨PDCA循环管理模式在胃肠镜检查护理风险控制中的应用效果,为有效防范胃肠镜检查护理风险提供依据。方法:选取2021年3月—2022年3月新泰市人民医院进行胃肠镜检查的140例患者作为研究对象,根据患者入院就诊顺序排号,其中单号为常规组,双号为研究组,每组各70例。常规组采用常规护理,研究组采用PDCA循环管理模式护理干预。比较两组患者不良事件发生率、并发症、检查前后各指标上下波动范围、护理满意度。结果:研究组不良事件发生率为8.57%,明显低于常规组的17.14%,差异有统计学意义(χ^(2)=6.178,P<0.05)。研究组并发症发生率为2.86%,明显低于常规组的17.14%,差异有统计学意义(χ^(2)=8.044,P<0.05)。研究组心率、血压、血氧饱和度指标在胃肠镜检查前后的波动幅度明显低于常规组,差异有统计学意义(t=8.772、11.342、8.676、9.325,P<0.05)。研究组护理满意度为94.29%,明显高于常规组的82.86%,差异有统计学意义(χ^(2)=7.068,P<0.05)。结论:在胃肠镜检查患者中应用PDCA循环管理模式,能够防范护理风险,降低护理不良事件及并发症发生率,减少患者生命体征的波动,进而提升患者护理满意度。
Objective:To explore the effect of PDCA cycle management model in gastroscopy nursing risk control,and provide a basis for effective prevention of gastroscopy nursing risks.Methods:140 patients who underwent gastroscopy in the hospital from March 2021 to March 2022 were selected as the study subjects,and the patients were ranked according to the order of their admission to the hospital,with a single number for the conventional group and a double number for the study group,with 70 cases in each group.Conventional care was used in the conventional group and PDCA cycle management mode nursing intervention was used in the study group.The incidence of adverse events,complications,the range of up and down fluctuation of each index before and after examination,and nursing satisfaction were compared between the two groups.Results:The incidence of adverse events in the study group was 8.57%,which was significantly lower than 17.14%in the conventional group,and the difference was statistically significant(χ^(2)=6.178,P<0.05).The complication rate in the study group was 2.86%,which was significantly lower than 17.14% in the conventional group,and the difference was statistically significant(χ^(2)=8.044,P<0.05).The fluctuations of heart rate,blood pressure and oxygen saturation in the study group before and after gastroscopy were significantly lower than those in the conventional group,and the differences were statistically significant(t=8.772,11.342,8.676,9.325,P<0.05).Nursing satisfaction in the study group was 94.29%,which was significantly higher than 82.86% in the conventional group,and the difference was statistically significant(χ^(2)=7.068,P<0.05).Conclusion:Applying the PDCA cycle management model in patients undergoing gastroscopy can prevent nursing risks,reduce the incidence of nursing adverse events and complications,reduce the range of fluctuations in patients’vital signs,and thus improve patient care satisfaction.
作者
冯艳
Feng Yan(Xintai People’s Hospital,Xintai,Shandong,271200,China)
出处
《黑龙江医学》
2023年第22期2791-2793,2797,共4页
Heilongjiang Medical Journal
关键词
PDCA循环管理模式
胃肠镜
护理
风险控制
PDCA cycle management model
Gastroenteroscopy
Nursing
Risk management
