追踪方法学结合PDCA护理管理程序在重度颅脑损伤患者术后管路管理中的应用

Application of Tracking Methodology and PDCA Nursing Management Program in Postoperative Circuit Management of Patients with Severe Head Injury

目的探讨追踪方法学结合PDCA护理管理程序在重度颅脑损伤患者术后管路管理中的应用及效果。方法2018年1-6月实施追踪方法学及PDCA护理管理程序提升重度颅脑损伤患者术后管路管理质量。选择实施前12个月32例重度颅脑损伤患者为实施前组,选择实施后12个月35例重度颅脑损伤患者为实施后组,比较两组患者管路管理质量及护理满意度。结果实施前管路相关并发症发生率为53.1%,实施后并发症发生率为14.2%,实施后管路相关并发症发生率低于实施前(P<0.05)。实施前管路意外事件发生率为28.1%,实施后管路意外事件发生率为5.7%,实施后管路意外事件发生率低于实施前(P<0.05)。实施前护理满意度为84.4%,实施后护理满意度为97.1%,实施后护理满意度高于实施前(P<0.05)。结论追踪方法学结合PDCA护理管理程序能够提高颅脑损伤术后患者管路管理质量,提高管路安全,提升护理质量。

Objective To explore the application and effect of tracking methodology combined with PDCA nursing management program on postoperative circuit management in patients with severe head injury. Methods The follow-up methodology and PDCA nursing management procedures were implemented from January to June 2018 to improve the quality of postoperative circuit management in patients with severe head injury. 32 patients with severe traumatic brain injury 12 months before implementation were selected as the pre-implementation group, and 35 patients with severe traumatic brain injury 12 months after implementation were selected as the post-implementation group. The two groups of patients were compared for the quality of tube management and nursing satisfaction. Results The incidence rate of pipeline-related complications before implementation was 53.1%, the incidence rate of complications after implementation was 14.2%, and the incidence rate of pipeline-related complications was lower than that before implementation(P<0.05). The rate of pipeline accidents before implementation was 28.1%, the rate of pipeline accidents after implementation was 5.7%, and the rate of pipeline accidents after implementation was lower than before implementation(P<0.05). The satisfaction degree of nursing before implementation was 84.4%, the satisfaction degree of nursing after implementation was 97.1%, and the satisfaction degree of nursing after implementation was higher than that before implementation(P<0.05). Conclusion The tracking methodology combined with the PDCA nursing management program can improve the quality of tube management, improve the safety of the tube and the quality of nursing after traumatic brain injury.