首页|PDCA循环管理在减少输尿管双J管置入术患者术后并发症中的应用

PDCA循环管理在减少输尿管双J管置入术患者术后并发症中的应用

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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。
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..

the PDCA cycle managementdouble J ureteralpostoperative complication

付菊、张翾

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重庆医科大学附属永川医院泌尿外科 重庆市永川区 402160

重庆医科大学附属永川医院

PDCA 循环管理 输尿管双 J 管置入 术后并发症

重庆医科大学附属永川医院院内资助项目

YJFL201438

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(1)
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