多学科合作目标管理方案降低脑肿瘤患者术后误吸发生率的临床实践

Clinical practice of multidisciplinary goal-based management to reduce the incidence of postoperative aspiration in patients with brain tumors

目的 :实施多学科合作的目标管理方案,为临床管理者降低脑肿瘤患者术后误吸发生率提供参考。方法 :对天津市某三级甲等专科医院2022年4月—9月行脑肿瘤切除术的患者实施为期6个月的降低误吸发生率质量改进项目。应用目标管理理论,设立改善目标并构建多学科合作的目标管理方案,实施并进行质量评价,通过评估结果改进行动,观察集束化措施完成率和误吸发生率的变化。结果 :在项目末期,误吸发生率较基线明显降低(P<0.05),过程指标3项措施执行完成率≥95%,1项措施执行完成率≥90%,达成目标。结论 :实施多学科合作的目标管理方案可降低脑肿瘤患者术后误吸发生率,促进护理质量提升。

Objective:To implement the goal-based management plan of multidisciplinary cooperation,and to provide reference for nurses to reduce the incidence of postoperative aspiration in patients with brain tumors.Methods:A goal-based management plan was applied in patients received brain tumor resection in a tertiary grade A specialist hospital from April to September 2022,including formulating improvement goals,plans,implementation and quality evaluation,and adjusting actions based on evaluation results with a duration of 6 months.Completion rate of measures and aspiration rate were collected.Results:The target was achieved at the end of the project,the incidence of aspiration was significantly reduced compared with the baseline(P<0.05),and the completion rate of 3 measures in the process was≥95%,and the completion rate of 1 measure was≥90%.Conclusion:The implementation of multidisciplinary goal-based management plan can effectively reduce the incidence of aspiration in patients with brain tumors and promote the nursing quality.