论文部分内容阅读
目的探讨品管圈活动在降低超高龄(≥80岁)胆结石病手术患者肺部感染发生率的效果评价。方法成立品管圈活动小组,确立“降低超高龄胆结石病手术患者肺部感染发生率”为活动主题,进行现状调查、目标设定、原因分析、对策拟定,应用PDCA循环实施各项对策。结果通过开展品管圈活动,明确了超高龄(≥80岁)胆结石病患者术后肺部感染的可控因素,规范了“超高龄手术患者呼吸道护理路径表”的应用,使超高龄胆结石病手术治疗患者术后肺部感染发生率由24.00%降至14.71%(P<0.001)。结论开展品管圈活动,应用“超高龄手术患者呼吸道护理路径表”对超高龄胆结石病手术治疗患者进行规范化管理,降低其院内肺部感染的发生率,减少患者住院天数,患者及家属对治疗护理效果满意,同时提高了护理人员参与护理管理的主动性、积极性及创造性。
Objective To evaluate the effect of quality control loop on reducing the incidence of pulmonary infection in patients with super gallbladder disease (≥80 years old). Methods A quality control circle activity group was set up to establish the theme of “reducing the incidence of pulmonary infection in patients with super-gallstone disease during operation”, to conduct status quo investigation, target setting, analysis of causes, formulation of measures, and implementation of the PDCA cycle Countermeasures. Results Through the quality control circle activities, the controllable factors of postoperative pulmonary infection in patients with gallstone disease of ultra-elderly (≥80 years old) were clarified and the application of “Respiratory Care Pathway Table for Patients with Ultra-Aged Patients” was regulated. The incidence of postoperative pulmonary infection in elderly patients with gallstone disease was reduced from 24.00% to 14.71% (P <0.001). Conclusion Conducting QA activities and using the table of pathways for respiratory care in patients with ultra-advanced age to standardize the management of patients with ultra-advanced gallstone disease, reducing the incidence of nosocomial pulmonary infection, reducing the number of days hospitalized, and Family members are satisfied with the treatment and care performance, meanwhile, they also increase their initiative, enthusiasm and creativity in nursing management.