六西格玛管理法在全麻手术患者低体温中的应用效果

Application effect of Six Sigma management in hypothermia of patients underwent general anesthesia

目的分析六西格玛管理法用于全麻手术患者中对低体温及寒战的预防作用。方法选取2016年10月至2017年11月本院行全麻手术治疗的332例患者作为研究对象,随机分为对照组164例和观察组168例,对照组实施常规护理,观察组实施六西格玛管理。比较两组患者各时间点体温(鼓膜温度),患者全身寒冷感消失时间、住院时间,统计两组低体温发生率、寒战发生率,比较两组患者对护理满意度。结果观察组各时间点肛温较对照组高;观察组全身寒冷感消失时间较对照组短,住院时间较对照组短(P <0.05),差异有统计学意义。观察组低体温发生率、寒战发生率均较对照组低;观察组护理满意度较对照组高。结论六西格玛管理法能有效控制全麻手术患者体温,缓解患者术后寒冷感,减少术后低体温甚至寒战的发生。

Objective To analyze the preventive effect of Six Sigma management on hypothermia and chills in patients undergoing general anesthesia.Methods To compared the body temperature((tympanic membrane temperature)at each designed time point,time of the chill regression of the whole body,and length of hospitalization,recorded the incidence of hypothermia and chills,and compared the satisfaction with nursing,332 cases of patients underwent general anesthesia in our hospital from October 2016 to November 2017 were observed,and randomly divided into control group with 164 cases and study group with 168 cases.The control group adopted the routine nursing,while the study group adopted the Six Sigma management.Results The anus temperature at each designed time point of the study group was higher than that of the control group.The time of chill regression of the whole body in the study group was shorter than that in the control group,the length of hospitalization was shorter than the control group(P<0.05),and the difference was statistically significant.The incidence of hypothermia and chills in the study group were lower than the control group.The satisfaction with nursing of the study group was higher than that of the control group.Conclusion The application of Six Sigma management could effectively keep the hypothermia of patients underwent general anesthesia in control,relieve the postoperative chills for the patients,and reduce the incidence of postoperative hypothermia or even the chills.