论文部分内容阅读
目的分析PDCA管理对急性脑梗死患者合并医源性肺部感染影响因素。方法选取医院收治急性脑梗死患者94例为研究对象,随机分为对照组和观察组,每组47例。其中对照组予以常规护理模式,观察组予以PDCA循环管理干预,观察2组患者合并医源性感染及影响因素。结果观察组合并医源性肺感染阳性率为46.8%,低于对照组的68.1%(P<0.05);2组手术时间影响因素比较无显著差异(P>0.05),脑脊液漏、气管切开、营养评分等3个因素引起院内感染比较,观察组感染率低于对照组(P<0.05)。结论 PDCA循环管理模式可加强护理质量、提高护理管理安全,运用在急性脑梗死中可降低院内肺感染发生率,临床可予以考虑。
Objective To analyze the influencing factors of PDCA management in patients with acute cerebral infarction complicated by iatrogenic pulmonary infection. Methods A total of 94 patients with acute cerebral infarction admitted to hospital were selected as study subjects and randomly divided into control group and observation group, with 47 cases in each group. The control group was given routine nursing mode, and the observation group was given PDCA cycle management intervention to observe the two groups of patients with iatrogenic infection and the influencing factors. Results The positive rate of observation group and iatrogenic pulmonary infection was 46.8%, which was lower than that of the control group (68.1%, P <0.05). There was no significant difference between the two groups in operative time (P> 0.05), cerebrospinal fluid leakage and tracheotomy , Nutritional score and other three factors caused nosocomial infection, the observation group infection rate was lower than the control group (P <0.05). Conclusions The PDCA cycle management model can enhance the quality of care and improve the safety of nursing management. The use of PDCA can reduce the incidence of nosocomial pulmonary infection in patients with acute cerebral infarction and may be considered clinically.