PDCA循环管理在麻醉恢复期患者躁动护理中的应用

Application of PDCA circulation management in caring of agitation patients during recovery from anesthesia

目的探讨PDCA循环管理在麻醉恢复期患者躁动护理中的应用效果。方法选择2015年在南京中医药大学附属医院实施全身麻醉手术后转入麻醉恢复室(PACU)的患者120例,将1-6月的60例患者作为对照组,7—12月的60例患者作为观察组。对照组按照PACU常规进行复苏护理,观察组在PACU常规护理基础上应用PDCA循环管理方法,通过计划、实施、检查和处理4个阶段进行躁动管理,观察两组患者在麻醉恢复期出现躁动情况及因躁动引起的不良事件发生情况。结果观察组的躁动发生率显著低于对照组,两组比较差异有统计学意义(P<0.05);观察组因躁动引起的不良事件发生率低于对照组,两组比较差异有统计学意义(P<0.05)。结论实施PDCA循环管理能够降低麻醉恢复期患者发生躁动及不良事件情况,提高护理的安全性,有利于患者的康复。

Objective To explore the application of PDCA circulation management in caring of agitation patients during recovery from anesthesia. Methods Totally 120 patients in post-anesthesia care unit （PACU） after general anesthesia in Affiliated Hospital of Nanjing Medical University of Traditional Chinese Medicine were recruited in 2015. The 60 patients hospitalized from July to December were enrolled in the observation group while the 60 patients hospitalized from January to June were set as controls. The control group received routine PACU nursing, while the observation group received PDCA circulation management including four stages （plan, do, check, and action）. The occurrence of agitation and related complications in the two groups were analyzed. Results The incidence of agitation and related complications in the observation group was significantly lower than that in the control group （ P 〈 0.05 ）. Conclusion The application of PDCA circulation management could significantly reduce the incidence of agitation and related complications in the patients during recovery from general anesthesia.