PDCA循环在预防重症颅脑外伤气管切开术后下呼吸道感染的应用及效果分析

The Application and Effect Analysis of PDCA Cycle in the Prevention of Lower Respiratory Tract Infection after Tracheotomy in Severe Craniocerebral Trauma

目的探讨PDCA循环在预防和控制重症颅脑外伤气管切开术后下呼吸道感染的应用效果。方法运用PDCA循环对60例重症颅脑外伤气管切开后(观察组)的患者进行预防下呼吸道感染的质量管理,并与常规护理(对照组)的87例重症颅脑外伤气管切开术后患者下呼吸道感染发生率进行比较。结果观察组重症颅脑外伤气管切开后下呼吸道感染发生率16.7%显著低于对照组的35.6%(χ2=6.35,P<0.05)。结论 PDCA循环质量管理可有效降低重症颅脑外伤气管切开术后下呼吸道感染发生率。

Objective To explore the effect of PDCA cycle in the prevention and control of the lower respiratory tract infection after tracheotomy in severe craniocerebral trauma. Methods The PDCA cycle in nursing quality management was applied in 60 cases of severe craniocerebral trauma after tracheotomy patients （observation group） for the prevention of lower respiratory infection, and the 87 cases of severe craniocerebral injury after tracheotomy with conventional nursing were used as control group. The incidence of lower respiratory infec- tion was compared between the two groups. Results The incidence of lower respiratory tract infection after tracheotomy in severe craniocerebral trauma of the observation group was significantly lower than that of the control group （ chi - square = 6.35, P 〈 0.05 ）. Conclusion PDCA cycle quality management can effectively reduce the incidence of lower respiratory tract infection after tracheotomy in severe craniocerebral trauma.