FOCUS-P DCA法在预防ICU患者深静脉血栓中的实践效果

Practice and effect of FOCUS-PDCA method in prevention of deep venous thrombosis in ICU patients

目的：探讨运用FOCUS-PDCA法在降低ICU深静脉血栓（ DVT）发生率中的实践及效果。方法运用FOCUS-PDCA法分析ICU深静脉血栓中发生的各个环节,明确深静脉血栓发生的高危因素；成立持续质量控制（ CQI ）小组并对 ICU 医护人员进行培训,形成规范；统计两组患者 DVT 发生率。结果运用FOCUS-PDCA法干预前后,ICU患者深静脉血栓发病率分别为8.48%和2.9%,差异有统计学意义（χ^2=4.925,P〈0.05）。结论运用FOCUS-PDCA法可以解决科室在DVT预防中存在的医护人员对DVT发生率不够重视、医护人员对DVT预防相关知识掌握程度不一、科室无DVT预防的标准化护理措施等问题,对患者实施标准化医疗护理措施,可有效预防ICU患者深静脉血栓的发生。

Objective To explore the practice and effect of FOCUS-PDCA method in reducing the incidence rate of deep venous thrombosis （DVT） in ICU patients.Methods The FOCUS-PDCA method was used to analyze all links of the occurrence of DVT in ICU patients, to determine the high-risk factors of DVT;continuous quality control （ CQI） team was established and it provided training for ICU medical staff, and made it standardized. The incidence rate of DVT in ICU patients was calculated.Results The incidence rate of DVT in ICU patients before and after using the FOCUS-PDCA method were 8.48% and 2.9% （χ^2=4. 925,P〈0.05）.Conclusions The FOCUS-PDCA method can solve the problem such as： medical staff doesn′t paying enough attention to the incidence rate of DVT; the master degree of medical staff in DVT prevention related knowledge is different;and there is no standardized nursing measures for DVT prevention in ICU. Standardized medical nursing measures can effectively prevent the DVT of ICU patients.