基于六西格玛管理理论的救治流程信息化构建对严重产后出血患者救治效果的影响

Influence of Information Construction of the Treatment Process based on Six Sigma Management Theory on Treatment Effect of Patients with Severe Postpartum Hemorrhage

目的:探讨基于六西格玛(Six Sigma)管理理论的救治流程信息化构建对严重产后出血(sPPH)患者救治效果的影响。方法:回顾性分析2020年3月-2021年12月南昌大学第二附属医院收治的接受基于Six Sigma管理理论的救治流程信息化构建的64例sPPH患者的临床资料,将其纳入试验组;另回顾性分析2016年1月-2019年8月实施改造前sPPH救治流程的64例sPPH患者的临床资料,将其纳入对照组。比较两组患者救治成功率、救治成功患者不良事件发生率、损伤再灌注率、术后住院时间及治疗费用。结果:试验组救治成功率高于对照组(P<0.05)。试验组救治成功患者不良事件发生率低于对照组救治成功患者,术后住院时间短于对照组救治成功患者,治疗费用低于对照组救治成功患者,总满意率高于对照组救治成功患者(P<0.05)。两组救治成功患者再灌注损伤率比较,差异无统计学意义(P>0.05)。结论:基于Six Sigma理论的sPPH患者救治流程信息化构建,可提高救治成功率,降低不良事件发生率,缩短患者住院时间,减少医疗费用。

Objective:To explore the influence of the information construction of the treatment process based on the Six Sigma management theory on the treatment effect of patients with severe postpartum hemorrhage (sPPH).Method:The clinical data of 64 patients with sPPH who were admitted to the Second Affiliated Hospital of Nanchang University from March 2020 to December 2021 and received the information construction of the treatment process based on Six Sigma management theory were retrospectively analyzed,and they were included in the experimental group;the clinical data of 64 sPPH patients who implemented the pre-reformation sPPH treatment process from January 2016 to August 2019 were retrospectively analyzed and included in the control group.The success rate of treatment,the incidence of adverse events,injury reperfusion rate,postoperative hospital stay and treatment costs were compared between the two groups.Result:The success rate of treatment in the experimental group was higher than that in the control group (P<0.05).The incidence of adverse events of successfully treated patients in the experimental group was lower than that of successfully treated patients in the control group,the postoperative hospital stay was shorter than that of successfully treated patients in the control group,the treatment cost was lower than that of successfully treated patients in the control group,and the total satisfaction rate was higher than that of successfully treated patients in the control group (P<0.05).There was no significant difference in reperfusion injury rate between successfully treated patients in the two groups (P>0.05).Conclusion:The information construction of the treatment process of sPPH patients based on Six Sigma theory can improve the success rate of treatment,reduce the incidence of adverse events,shorten the hospitalization time of patients,and reduce medical expenses.