延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2015年
1期
116-118
,共3页
PDCA 循环管理%输尿管双 J 管置入%术后并发症
PDCA 循環管理%輸尿管雙 J 管置入%術後併髮癥
PDCA 순배관리%수뇨관쌍 J 관치입%술후병발증
the PDCA cycle management%double J ureteral%postoperative complication
目的：：了解泌尿系手术后置入输尿管双 J 管出现并发症的情况，探究运用 PDCA 循环管理对病人出现术后并发症的影响。方法：选择近期在我科进行输尿管双 J 管置入术4周的患者78例，将其分为观察组与对照组，每组39例，对照组患者给予常规医疗处理及护理，而观察组患者则使用 PDCA 循环管理步骤实施医疗及护理。密切观察两组患者出现并发症情况及护理满意度进行比较。结果：观察组患者对于医疗护理的总满意度（92．29%）明显高于对照组患者的满意度（71．79%）；对照组患者出现血尿、尿频、腰痛、骶尾部不适、管周结石等术后并发症发生率明显高于观察组患者，具有显著性差异（P<0．05）。结论：应用PDCA 循环管理方法可以减少置入输尿管双 J 管患者术后并发症的发生率。
目的：：瞭解泌尿繫手術後置入輸尿管雙 J 管齣現併髮癥的情況，探究運用 PDCA 循環管理對病人齣現術後併髮癥的影響。方法：選擇近期在我科進行輸尿管雙 J 管置入術4週的患者78例，將其分為觀察組與對照組，每組39例，對照組患者給予常規醫療處理及護理，而觀察組患者則使用 PDCA 循環管理步驟實施醫療及護理。密切觀察兩組患者齣現併髮癥情況及護理滿意度進行比較。結果：觀察組患者對于醫療護理的總滿意度（92．29%）明顯高于對照組患者的滿意度（71．79%）；對照組患者齣現血尿、尿頻、腰痛、骶尾部不適、管週結石等術後併髮癥髮生率明顯高于觀察組患者，具有顯著性差異（P<0．05）。結論：應用PDCA 循環管理方法可以減少置入輸尿管雙 J 管患者術後併髮癥的髮生率。
목적：：료해비뇨계수술후치입수뇨관쌍 J 관출현병발증적정황，탐구운용 PDCA 순배관리대병인출현술후병발증적영향。방법：선택근기재아과진행수뇨관쌍 J 관치입술4주적환자78례，장기분위관찰조여대조조，매조39례，대조조환자급여상규의료처리급호리，이관찰조환자칙사용 PDCA 순배관리보취실시의료급호리。밀절관찰량조환자출현병발증정황급호리만의도진행비교。결과：관찰조환자대우의료호리적총만의도（92．29%）명현고우대조조환자적만의도（71．79%）；대조조환자출현혈뇨、뇨빈、요통、저미부불괄、관주결석등술후병발증발생솔명현고우관찰조환자，구유현저성차이（P<0．05）。결론：응용PDCA 순배관리방법가이감소치입수뇨관쌍 J 관환자술후병발증적발생솔。
Objective: To know the clinical situations of patients with planting double J ureteral,and to explore the effects and appli-cations of the PDCA cycle management on postoperative complications . Methods: 78 cases of patients with operations in our hospital were chosen ,and they were divided into the experimental group and the control group, each group with 39 cases. The control group was given general nursing ,while the experimental group was given the PDCA cycle management.The nursing satisfaction and postoper-ative complications in the two groups were closed observed and compared. Results: The satisfaction on the mangagment of the experi-mental group (92.29%)significantly better than the control group (71.79%)postoperative complication rate of Frequent micturition, hematuria, lumbago, sacral discomfort, difficulty in decannulation in the control group was significantly higher than the experimental group, with statistical significance (P<0.05). Conclusions: The PDCA cycle management can decrease the postoperative complication rate of planting double J ureteral ,which is safe and reliable at the same time and can be widely promoted in clinical use..
