An Empirical Study on PDCA Cycle Management Model to Reduce the Incidence of Hypothermia in Infants During the Perioperative Period
Objective To explore the clinical application value of the PDCA cycle(plan-do-check-act cycle,PDCA)management model in reducing the incidence of hypothermia during the perioperative period for infants.Methods A total of 296 infants treated during the perioperative period at Fujian Children's Hospital(Fujian Branch of Shanghai Children's Medical Center)from January to December 2023 were selected as research subjects.These infants were divided into a control group(children from January to June 2023)and an experimental group(children from July to December 2023),with 148 cases each group.The control group received conventional surgical care,while the test group adopted the PDCA cycle quality improvement method for nursing.The occurrence of hypothermia during the perioperative period between the two groups of infants were compared.Results There was no statistically significant difference between the two groups of children in terms of age,gender,weight,department category,and body temperature upon completion of anesthesia(P>0.05).However,at 30,90,120 min during surgery,the incidence of hypothermia in the test group was significantly better than that in the control group(3.38%vs.10.12%,4.73%vs.13.51%,and 7.43%vs.15.54%),with a statistically significant difference(P<0.05).There was no significant difference between the two groups in terms of the incidence of hypothermia at 60 min during surgery and 30 min postoperatively(4.05%vs.8.78%,1.35%vs.2.03%),with no statistically significant difference(P>0.05).The total incidence rates of postoperative surgical wound infection,cardiovascular adverse events,and decreased coagulation function in both groups of infants were 12.50%,2.36%,and 10.81%.The test group performed significantly better than the control group in terms of the incidence of these adverse events(respectively 6.08%vs.18.92%and 6.08%vs.15.54%),with a statistically significant difference(P<0.05).In terms of anesthesia recovery time and hospital stay,the test group also performed significantly better than the control group(P<0.05).However,there was no significant difference between the two groups in terms of the incidence rate of cardiovascular adverse events(1.35%vs.3.38%)(P>0.05).Conclusion The PDCA cycle quality improvement method can effectively reduce the incidence of hypothermia during the perioperative period for infants and related adverse events after surgery,demonstrating its certain clinical application value.
万方数据
维普
