中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
9期
17-18
,共2页
PDCA循环管理%脑干出血%气管插管%非计划性拔管%满意度
PDCA循環管理%腦榦齣血%氣管插管%非計劃性拔管%滿意度
PDCA순배관리%뇌간출혈%기관삽관%비계화성발관%만의도
PDCA cycle management%Brain stem hemorrhage%Endotracheal intubation%Planned extubation%Satisfaction
目的：分析PDCA循环管理模式对脑干出血气管插管非计划性拔管和护理满意度的影响。方法随机抽取我院2010-05-2013-06收治的脑干出血患者56例为研究对象，随机分为常规护理组和护理干预组，常规护理组接受气管插管常规护理，护理干预组接受PDCA循环管理模式指导下的护理干预措施。观察并比较2组患者非计划性拔管情况和家属满意度。结果护理干预组的非计划性拔管并发症发生率为7.14％，明显低于常规护理组（28.57％），差异有统计学意义（ P＜0.05），常规护理组家属护理满意度为100.00％，明显高于常规护理组的85.71％，差异有统计学意义（ P＜0.05）。结论 PD-CA循环管理模式能够明显降低脑干出血患者气管插管非计划性拔管发生，提高患者家属护理满意度，值得应用和推广。
目的：分析PDCA循環管理模式對腦榦齣血氣管插管非計劃性拔管和護理滿意度的影響。方法隨機抽取我院2010-05-2013-06收治的腦榦齣血患者56例為研究對象，隨機分為常規護理組和護理榦預組，常規護理組接受氣管插管常規護理，護理榦預組接受PDCA循環管理模式指導下的護理榦預措施。觀察併比較2組患者非計劃性拔管情況和傢屬滿意度。結果護理榦預組的非計劃性拔管併髮癥髮生率為7.14％，明顯低于常規護理組（28.57％），差異有統計學意義（ P＜0.05），常規護理組傢屬護理滿意度為100.00％，明顯高于常規護理組的85.71％，差異有統計學意義（ P＜0.05）。結論 PD-CA循環管理模式能夠明顯降低腦榦齣血患者氣管插管非計劃性拔管髮生，提高患者傢屬護理滿意度，值得應用和推廣。
목적：분석PDCA순배관리모식대뇌간출혈기관삽관비계화성발관화호리만의도적영향。방법수궤추취아원2010-05-2013-06수치적뇌간출혈환자56례위연구대상，수궤분위상규호리조화호리간예조，상규호리조접수기관삽관상규호리，호리간예조접수PDCA순배관리모식지도하적호리간예조시。관찰병비교2조환자비계화성발관정황화가속만의도。결과호리간예조적비계화성발관병발증발생솔위7.14％，명현저우상규호리조（28.57％），차이유통계학의의（ P＜0.05），상규호리조가속호리만의도위100.00％，명현고우상규호리조적85.71％，차이유통계학의의（ P＜0.05）。결론 PD-CA순배관리모식능구명현강저뇌간출혈환자기관삽관비계화성발관발생，제고환자가속호리만의도，치득응용화추엄。
Objective To explore the PDCA cycle management influence on unscheduled extubation and relatives'satisfac-tion for patients with brain stem hemorrhage. Methods Fifty-six patients with brain stem hemorrhage treated in our hospital from May 2010 to June 2013 were chosen as the research objects ,and divided into the routine nursing group(selected from be-fore implementation of PDCA cycle management model)and the nursing intervention group(selected from after implementation of PDCA cycle management model) ,respectively.The patients in the routine nursing group were given routine nursing care ,the patients in the nursing intervention group received nursing measures under the PDCA cycle management model ,The unsched-uled extubation and relatives'satisfaction for patients with brain stem hemorrhage by PDCA cycle management were compared.Results The unscheduled decannulation complication rates of the nursing intervention group was lower than that of the routine nursing group(7.14% vs 28.57% ,P<0.05) ,the relatives'satisfaction for patients of the nursing intervention group was high-er than that of the routine nursing group(100.00% vs 85.71% ,P<0.05). Conclusion The PDCA cycle management model can significantly reduce tracheal intubation unscheduled tube drawing in patients with the brainstem hemorrhage ,and improve the relatives'satisfaction for care ,it is worthy of wide application and promotion.
