首页|基于PDCA的改进策略在结直肠癌手术患者体温管理中的应用

基于PDCA的改进策略在结直肠癌手术患者体温管理中的应用

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目的:探讨基于PDCA的循环改进策略在结直肠癌手术患者体温管理中的应用。方法:选取2020年2月-2023年2月在我院收治的行腹腔镜结直肠癌手术患者60例,根据入院时间将纳入对象分为对照组(给予常规低体温护理干预措施)和改进组(在对照组基础上给予基于PDCA的改进干预),每组各30例。比较两组患者的手术数据和不同时间段的体温变化、术后并发症以及护理满意度。结果:改进组的术后住院时间、复温时间和寒战持续时间均短于对照组;改进组体温在术中60 min(T2)、术中90 min(T3)、手术后(T4)阶段高于对照组,并发症的发生率低于对照组,患者对护理满意度高于对照组,差异均具有统计学意义(P<0。05)。结论:在腹腔镜结直肠癌手术中,使用PDCA实施持续的提升策略,可以有效地维持病人体温,降低术中的寒战等并发症,提升病人的护理满意度,具有一定临床应用价值。
Application of Improved Strategies Based on PDCA in Temperature Management of Pa-tients Undergoing Colorectal Cancer Surgery
Objective:To explore and analyze the application of improved strategy based on plan-execution-check-treatment(PD-CA)in temperature management of patients undergoing colorectal cancer surgery.Methods:A total of 60 patients undergoing laparo-scopic colorectal cancer surgery in our hospital from February 2020 to February 2023 were selected,and the included subjects were di-vided into control group(given routine hypothermia nursing intervention measures)and improvement group(given PDCA-based im-provement intervention on the basis of control group)according to the admission time,with 30 patients in each group.The surgical data of the two groups were compared,and the temperature changes,postoperative complications and nursing satisfaction of the two groups in different time periods were compared.Results:The hospitalization time,rewarming time and chills duration in the improved group were lower than those in the control group,and the difference was statistically significant(P<0.05).The temperature in the improved group at 60 min(T2),90 min(T3)and after surgery(T4)was higher than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the improved group was lower than that in the control group,the total nursing satisfaction of the improved group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Under laparoscopy,PDCA continuous enhancement strategy can significantly reduce the patient's body tempera-ture,reduce intraoperative complications such as chills,and improve the patient's nursing satisfaction,which has great clinical applica-tion value.

PDCALaparoscopyColorectal Cancer SurgeryStandardized Hypothermia Management

姜锋艳

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盐城市第三人民医院手术室,江苏 盐城 224000

PDCA 腹腔镜 结直肠癌手术 标准化低体温管理

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(4)
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