持续质量改进循环程序模式在颅脑手术患者术后肺部感染风险管理中的应用价值

Application value of continuous quality improvement cycle program mode in risk management of postoperative pulmonary infection in patients with craniocerebral surgery

目的探讨持续质量改进循环(FOCUS-PDCA)程序模式在颅脑手术患者术后肺部感染风险管理中的应用。方法选取2018年1月~2020年9月萍乡市第三人民医院收治的行颅脑手术的患者88例,根据患者治疗过程中管理模式差异将其分为对照组(n=43)及观察组(n=45)。对照组患者术后予以常规护理模式,观察组患者根据FOCUS-PDCA程序模式中的9个步骤进行管理,比较两组患者术后肺部感染发生率、感染持续时间、带管时间、ICU观察时间和总住院时间,并比较两组患者治疗过程中护理满意度。结果观察组患者术后肺部感染发生率低于对照组,观察组感染持续时间、带管时间、ICU观察时间和总住院时间短于对照组,差异均有统计学意义(P<0.05);观察组患者治疗过程中护理满意度高于对照组,差异有统计学意义(P<0.05)。结论FOCUS-PDCA程序模式能够显著降低颅脑手术患者肺部感染的发生率,缩短带管时间、ICU观察时间、住院时间,促进患者恢复,提高患者对治疗的满意度。

Objective To explore the application of continuous quality improvement cycle(FOCUS-PDCA)program model in postoperative lung infection risk management of patients undergoing craniocerebral surgery.Methods A total of 88 patients who underwent craniocerebral surgery from January 2018 to September 2020 in Pingxiang Third People′s Hospital were selected and divided into control group(n=43)and observation group(n=45)according to the difference in management mode during the treatment process.The patients in the control group were given conventional nursing mode after surgery,and the patients in the observation group were managed according to 9 steps in the Focus-PDCA procedure mode.The incidence of postoperative pulmonary infection,duration of infection,catheter insertion time,ICU observation time and total hospital stay of the two groups were compared,and the nursing satisfaction of the two groups in the treatment process was compared.Results The incidence of postoperative pulmonary infection in the observation group was lower than that in the control group,the duration of infection in the observation group,tube-in-tube time,ICU observation time and total hospitalization time were shorter than the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The FOCUS-PDCA program mode can significantly reduce the incidence of pulmonary infections in patients undergoing craniocerebral surgery,shorten the time of catheterization,ICU observation time,and hospital stay,promote patient recovery,and improve patient satisfaction with treatment.