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目的:分析PDCA管理模式对妇科手术患者术后并发症发生率的影响和患者对护理的满意度影响。方法:医院2015年5月开始引入PDCA循环管理,成立PDCA循环管理小组,制定妇科手术患者护理管理计划,每月1次例会整理本期内护理计划实施存在的问题,提出解决方案,调整护理计划,下次例会重复检查和制定对应措施及调整护理管理计划。比较实施PDCA循环模式前(2014年5月~2015年4月)和实施后(2015年5月~2016年4月)妇科手术并发症发生率和患者对护理的满意度。结果:实施PDCA前行妇科手术2156例,术后并发症率为15.07%,患者对护理的满意率为78.01%;实施PDCA后行妇科手术2204例,术后并发症185例,术后并发症率8.39%,患者对护理满意率95.00%。实施PDCA循环管理模式后,患者并发症率明显降低,护理满意率明显升高(P<0.05)。结论:PDCA循环管理能够解决护理中出现的问题,提升护理质量,降低术后并发症率,提高患者对护理的满意度。
Objective: To analyze the impact of PDCA management on the incidence of postoperative complications in patients with gynecological surgery and the impact of patient satisfaction on nursing. Methods: The hospital began to introduce the PDCA cycle management in May 2015, set up the PDCA cycle management team to formulate the nursing management plan for gynecological surgery patients, once a month for regular meeting to organize the existing problems in the implementation of the nursing plan, put forward the solution and adjust the nursing plan The next regular meeting will be repeated inspection and development of corresponding measures and adjust the nursing management plan. Comparing the incidence of gynecological surgery complications and patient satisfaction with nursing before implementing PDCA cycle mode (May 2014 to April 2015) and after implementation (May 2015 to April 2016). Results: 2156 gynecological operations were performed before PDCA. The postoperative complication rate was 15.07%. The satisfaction rate of patients with nursing was 78.01%. After PDCA, 2204 cases of gynecological surgery, postoperative complications of 185 cases, postoperative complications Rate of 8.39%, patient satisfaction rate of 95.00%. The implementation of PDCA cycle management mode, the patient complication rate was significantly reduced, nursing satisfaction was significantly higher (P <0.05). Conclusion: PDCA cycle management can solve problems in nursing, improve nursing quality, reduce postoperative complications and improve patient satisfaction with nursing.