期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Journal of Advances in Clinical Nursing. 2024; 3: (8) ; 159-161 ; DOI: 10.12208/j.jacn.20240347.

Effect of PDCA cycle combined with preventive nursing on the prevention of risk events in operating room nursing
PDCA循环联合预防性护理对手术室护理风险事件预防的效果

作者: 吴世松 *

高州市人民医院长坡分院(高州市长坡镇中心卫生院) 广东高州

*通讯作者: 吴世松,单位:高州市人民医院长坡分院(高州市长坡镇中心卫生院) 广东高州;

发布时间: 2024-08-31 总浏览量: 69

摘要

目的 观察分析在手术室护理中实施PDCA循环联合预防性护理预防风险事件的临床效果和应用价值。方法 采用回顾性研究方法,选择院内就诊的60例手术治疗患者(样本纳入例数:60例;样本纳入时间:2022年12月至2023年12月),以随机摸球为基础分组方式,分为对照、实验两个小组,观察例数高度一致,每组6位护理人员。分别实施常规护理,PDCA循环联合预防性护理。收集分析护理效果。结果 与对照组(常规护理)相比,实验组(PDCA循环联合预防性护理)护理人员风险知识掌握程度(风险管理态度/风险管理行为意向/风险意识/风险管理认知)更高,护理质量评分(人文关怀/器械准备/护理文书/护理配合/消毒麻醉/环境管理)更高,风险事件发生率更低,(P<0.05)。结论 PDCA循环联合预防性护理可以有效减少风险事件发生率,提高护理人员风险意识,促进护理质量提升,促进手术治疗患者预后改善,有较高应用价值。

关键词: 手术治疗;PDCA循环;预防性护理

Abstract

Objective To observe and analyze the clinical effect and application value of PDCA cycle combined preventive nursing in operating room nursing to prevent risk events.
Methods A retrospective study was carried out to select 60 patients who received surgical treatment in our hospital (sample included: 60 cases; Sample inclusion time: December 2022 to December 2023) was divided into control and experimental groups based on random ball touching. The number of observed cases was highly consistent, with 6 nurses in each group. Routine nursing, PDCA cycle combined with preventive nursing were respectively implemented. The nursing effect was collected and analyzed.
Results Compared with the control group (routine nursing), the experimental group (PDCA cycle combined with preventive nursing) had a higher degree of risk knowledge (risk management attitude/risk management behavior intention/risk awareness/risk management cognition), and a higher nursing quality score (humanistic care/equipment preparation/nursing documents/nursing cooperation/disinfection/ anesthesia/environmental management). The incidence of risk events was lower (P<0.05).
Conclusion   PDCA cycle combined with preventive nursing can effectively reduce the incidence of risk events, improve the risk awareness of nursing staff, promote the improvement of nursing quality, and promote the improvement of prognosis of patients after surgical treatment, which has high application value.

Key words: Surgical treatment; PDCA cycle; Preventive nursing

参考文献 References

[1] 陈心亚.失效模式与效应分析联合PDCA管理对手术室护理质量及风险发生率的影响[J].中国医药指南,2024, 22(18):11-13.

[2] 吉书慧.预见性护理联合人性化服务在预防手术室患者不良事件及护理质量中的应用[J].航空航天医学杂志, 2023, 34(7):872-874.

[3] 王晓宁.PDCA循环联合预防性护理对手术室护理风险事件预防的价值分析[J].中国校医,2022,36(1):61-6367.

[4] 石妍妍,李菊,杨静玉,等.手术室预防性护理联合综合性保温干预对行甲状腺手术患者的效果[J].中西医结合护理(中英文),2023,9(12):184-186.

[5] 张红龙,王芳芳,王永琳.失效模式与效应分析及PDCA循环在普外科手术室护理管理中的应用[J].齐鲁护理杂志,2024,30(7):163-165.

[6] 庞秋贺,高青青,张媛媛.基于血栓风险预测模型的预防性护理联合目标循环管理在小儿先天性心脏病术后的应用[J].齐鲁护理杂志,2023,29(16):8-11.

[7] 侯文玉,刘佳.3H护理服务模式联合预防性风险管理对老年重症肺炎患者并发症影响[J].中华养生保健,2023, 41(19): 130-134.

[8] 林海蓉,施乐毅,徐坚,等.基于风险理念和PDCA循环管理的护理计划在预防子宫颈癌患者放射治疗后尿路感染的效果[J].中国医学创新,2022,19(19):104-108.

[9] 郭芳.PDCA管理配合预防性护理干预对手术室护理质量提升的临床价值分析[J].中国医药指南,2022,20(24): 35-38.

[10] 陈雪燕,郭履平,欧高文.以护理敏感指标的PDCA循环管理对预防手术室医院感染预防与控制的影响分析[J].岭南现代临床外科,2020,20(3):407-410F0003.

[11] 唐景洁,王密芳,何小玲,等.基于PDCA循环护理模式预防ICU危重患者并发下肢深静脉血栓形成的研究[J].中国中西医结合急救杂志,2022,29(4):462-465.

[12] 邓庆秋,周玲.FMEA联合PDCA循环管理模式在手术室护理管理中的应用[J].现代医药卫生,2022,38(6):1053-1055.

[13] 李静.PDCA循环管理在预防手术室医院感染质量控制中的效果[J].航空航天医学杂志,2019,30(8):1031-1032.

[14] 黄米娜.风险管理在手术室护理管理中的应用分析[J].山西医药杂志,2019,48(18):2298-2300.

引用本文

吴世松, PDCA循环联合预防性护理对手术室护理风险事件预防的效果[J]. 临床护理进展, 2024; 3: (8) : 159-161.