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目的:通过运用PDCA循环法,分析ICU失禁性皮炎的原因,加强整改,从而降低失禁性皮炎的发生率,实现对失禁性皮炎患者的科学管理。方法:2015年起运用PDCA循环管理法。2014年的ICU患者为对照组,出现失禁皮炎患者43例,对其进行原因分析和制定改进措施,加强ICU失禁性皮炎预防管理。2015年的ICU患者为观察组,出现失禁皮炎患者7例。结果:对照组失禁性皮炎患者占同期ICU患者总数的21.4%,观察组失禁性皮炎患者占同期ICU患者总数的3.2%。与对照组相比,观察组治疗周期明显短,失禁性皮炎发生严重程度较低(P<0.01)。结论:PDCA循环实现了对失禁性皮炎患者科学管理,加强了护士和患者预防观念,完善了医院制度体系。
OBJECTIVE: To analyze the causes of incontinence dermatitis in ICU and to improve its correction by using PDCA circulation method, so as to reduce the incidence of incontinence dermatitis and realize the scientific management of patients with incontinence dermatitis. Methods: The PDCA cycle management method was adopted in 2015. The ICU patients in 2014 were control group, with 43 cases of incontinence dermatitis. The cause analysis and improvement measures were made to strengthen the prevention and management of incontinence dermatitis in ICU. In 2015, ICU patients were in observation group, and 7 cases of incontinence dermatitis occurred. Results: The control group had 21.4% of the total number of ICU patients in the same period and the observation group had 3.2% of the total number of ICU patients in the same period. Compared with the control group, the treatment group significantly shorter treatment period, the severity of incontinence dermatitis was lower (P <0.01). Conclusion: The PDCA cycle has realized the scientific management of patients with incontinence, strengthened the concept of prevention for nurses and patients, and perfected the hospital system.