DOI:
江苏卫生事业管理:2024,Vol.>>Issue(4):524-527
本文二维码信息
码上扫一扫!
基于PDCA的改进策略在结直肠癌手术患者体温管理中的应用
姜锋艳
(盐城市第三人民医院手术室)
Application of Improved Strategies Based on PDCA in Temperature Management of Patients Undergoing Colorectal Cancer Surgery
JIANG Fengyan
(Operating Room,Yancheng Third People’s Hospital)
摘要
图/表
参考文献
相似文献
本文已被:浏览 598次   下载 450
    
中文摘要: 目的:探讨基于PDCA的循环改进策略在结直肠癌手术患者体温管理中的应用。方法:选取2020年2月-2023年2月在我院收治的行腹腔镜结直肠癌手术患者60例,根据入院时间将纳入对象分为对照组(给予常规低体温护理干预措施)和改进组(在对照组基础上给予基于PDCA的改进干预),每组各30例。比较两组患者的手术数据和不同时间段的体温变化、术后并发症以及护理满意度。结果:改进组的术后住院时间、复温时间和寒战持续时间均短于对照组;改进组体温在术中60 min(T2)、术中90 min(T3)、手术后(T4)阶段高于对照组,并发症的发生率低于对照组,患者对护理满意度高于对照组,差异均具有统计学意义(P<0.05)。结论:在腹腔镜结直肠癌手术中,使用PDCA实施持续的提升策略,可以有效地维持病人体温,降低术中的寒战等并发症,提升病人的护理满意度,具有一定临床应用价值。
Abstract:Objective:To explore and analyze the application of improved strategy based on plan-execution-check-treatment(PDCA)in temperature management of patients undergoing colorectal cancer surgery. Methods:A total of 60 patients undergoing laparoscopic colorectal cancer surgery in our hospital from February 2020 to February 2023 were selected,and the included subjects were divided into control group(given routine hypothermia nursing intervention measures)and improvement group(given PDCA-based improvement intervention on the basis of control group)according to the admission time,with 30 patients in each group. The surgical data of the two groups were compared,and the temperature changes,postoperative complications and nursing satisfaction of the two groups in different time periods were compared. Results:The hospitalization time,rewarming time and chills duration in the improved group were lower than those in the control group,and the difference was statistically significant(P < 0.05). The temperature in the improved group at 60 min(T2),90 min(T3)and after surgery(T4)was higher than that in the control group,and the difference was statistically significant(P < 0.05). The total incidence of complications in the improved group was lower than that in the control group,the total nursing satisfaction of the improved group was higher than that of the control group,and the difference was statistically significant(P < 0.05). Conclusion:Under laparoscopy,PDCA continuous enhancement strategy can significantly reduce the patient’s body temperature,reduce intraoperative complications such as chills,and improve the patient’s nursing satisfaction,which has great clinical application value.
文章编号:     中图分类号:    文献标志码:
基金项目:
引用文本:
姜锋艳.基于PDCA的改进策略在结直肠癌手术患者体温管理中的应用[J].江苏卫生事业管理,2024,35(4):524-527.
JIANG Fengyan.Application of Improved Strategies Based on PDCA in Temperature Management of Patients Undergoing Colorectal Cancer Surgery[J].Jiangsu Health System Management,2024,35(4):524-527.

用微信扫一扫

用微信扫一扫