PDCA循环护理在神经外科气管切开患者中应用效果.docVIP

PDCA循环护理在神经外科气管切开患者中应用效果 　　[摘要] 目的 探讨PDCA循环护理在神经外科气管切开患者中的应用效果。 方法 选取本院2013年1月～2014年1月收治的120例神经外科气管切开患者为研究对象，按入院时间分为两组，对照组采用常规护理，观察组采用PDCA循环护理，比较两组的护理服务质量、口腔菌落数、气管切开相关肺炎及口腔插管相关并发症发生率。 结果 观察组干预后的护理记录规范和护理操作规范评分均高于干预前及对照组，差异有统计学意义（P0.05）。两组插管3、12 h的口腔菌落数均明显多于插管前，差异有统计学意义（P0.05）；观察组插管3、12 h的口腔菌落数均少于对照组，差异有统计学意义（P0.05）。观察组的气管切开相关肺炎发生率为9.68%，低于对照组的25.86%，差异有统计学意义（P0.05）。观察组的口臭、口腔炎、口腔溃疡发生率及总发生率低于对照组，差异有统计学意义（P0.05）。 结论 PDCA循环护理在神经外科气管切开患者的护理中起积极作用，可提高护理规范水平，降低患者口腔菌落数，减少患者发生气管切开相关肺炎和其他并发症的风险。 　　[关键词] 循环护理；神经外科；气管切开 　　[中图分类号] R473.6[文献标识码] B[文章编号] 1674-4721（2014）06（a）-0112-03 　　 　　Application effect of PDCA circulation nursing in patients with tracheotomy in neurosurgery department 　　YIN Ai-shun LIU Yan-fen MO Li-zhen YIN Li 　　Department of Neurosurgery,Qingxi Hospital of Dongguan City in Guangdong Province,Dongguan 523660,China 　　[Abstract] Objective To investigate the application effect of PDCA circulation nursing in patients with tracheotomy in neurosurgery department. Methods 120 cases of patients with tracheotomy in neurosurgery department of our hospital from January 2013 to January 2014 were selected as research objects and divided into two groups according to admission time.The conventional nursing was used in control group and PDCA circulation nursing was used in observation group.The nursing service quality,oral colony count,the incidence rate of tracheostomy associated pneumonia and oral intubation related complication was compared respectively in two groups. Results Nursing record specification and operation norm score in observation group after intervention was higher than that in control group respectively,with statistical difference(P0.05).Oral intubation colony when intubation 3,12 hours in two groups was more than that before intubation respectively,with statistical difference(P0.05).Oral intubation colony when intubation 3,12 hours in observation group was less than that in control group respectively,with statistical difference(P0.05).Tracheostomy