PDCA管理方法在麻醉复苏室气管脱管中的应用及护理

Application and Nursing Care of PDCA Management in the Trachea Off of Endotracheal Anesthesia Recovery Room

目的:探讨PDCA管理方法在麻醉复苏室气管脱管中的应用。方法:将麻醉复苏室收治的168例气管插管全身麻醉的手术患者随机平行分为观察组与对照组,每组各84例。对照组进行常规护理,主要包括患者交接、生命体征监测、协助拔管等;观察组在对照组基础上采用PDCA管理方法,主要4个步骤:计划阶段、实施阶段、检查阶段及处理阶段。比较两组护理后的临床效果。结果:观察组与对照组的气管脱落率分别为0、6.0%,麻醉复苏室滞留时间分别为(78.51±26.83)min、(64.50±22.04)min,两组上述指标比较差异均有统计学意义(P<0.05)。结论:麻醉复苏室风险较高,气管脱落是常见并发症,严重威胁患者生命健康,PDCA通过其持续、动态的质量改进方法可有效减少麻醉复苏室气管脱落的概率,减少患者在麻醉复苏室滞留时间。

Objective： To explore the application of PDCA management in the trachea off of endotracheal anesthesia recovery room.Method： 168 patients with tracheal intubation general anesthesia were randomly divided into the control group and the observation group, each group contained 84 cases, the control group was given routine care, included the transfer of patients, vital signs monitoring, help patients extubation; the observation group was used PDCA management on the basis of the control group, it mainly contained four steps： planning stage, implementation phase, check phase and processing stage. The clinical effect of two groups after nursing were compared.Result： The trachea expulsion rate in the observation and the control group were 0, 6.0%; the anesthesia recovery room residence time were （78.51 ± 26.83） min, （64.50 ± 22.04） min, these indicators between the two groups were compared, the differences had statistical significance （P〈0.05）.Conclusion：The anesthesia recovery room with high risk, and trachea shedding is a common complication in patients, it is serious threat to life and health of patients, PDCA can reduce the probability of anesthesia recovery room off the trachea through continuous and dynamic quality improvement, it can reduce the anesthesia recovery room residence time.