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目的:应用管理循环(PDCA)降低重症监护室(ICU)患者意外拔管率,保障患者安全,保证治疗护理工作及时准确地实施。方法:将梁平县人民医院2014年1月至7月ICU收治的152例术后患者作为对照组,给予常规护理措施;将2014年8月至2015年2月ICU收治的160例术后患者作为观察组,运用PDCA循环对患者进行管理,分析意外拔管事件原因、拟定对策、评价效果、进一步改进,并将此过程循环反复。结果:对照组意外拔管率为9.87%;观察组意外拔管率为3.13%,两组比较,差异具有统计学意义(P<0.05)。结论:将PDCA管理循环应用在ICU术后患者护理管理中,有效降低患者意外拔管率,护士综合素质提升,自身价值得到体现,护理管理质量提升,保障患者安全。
OBJECTIVE: To reduce the accidental extubation rate in intensive care unit (ICU) by using management cycle (PDCA) to ensure the safety of patients and ensure the timely and accurate implementation of the treatment and nursing work. Methods: 152 postoperative patients admitted to ICU from January 2014 to July 2014 in Liangping County People’s Hospital were enrolled as control group, and routine nursing measures were given to them. 160 postoperative patients admitted to ICU between August 2014 and February 2015 were selected as In the observation group, PDCA circulation was used to manage the patients, the causes of accidental extubation were analyzed, the countermeasures were formulated, the effects were evaluated and further improved, and the process was repeated. Results: The rate of accidental extubation in the control group was 9.87%. The rate of accidental extubation in the observation group was 3.13%. There was significant difference between the two groups (P <0.05). Conclusion: The application of PDCA management cycle in patients with ICU postoperative care and management, effectively reducing the accidental extubation rate, improve the overall quality of nurses, their own values have been reflected in the quality of care management to enhance patient safety.