品管圈活动提高神经外科患者DVT预防护理措施落实率

发布时间：2018-01-30 05:12

本文关键词： 神经外科下肢深静脉血栓形成品管圈预防护理护理管理　出处：《护理学杂志》2016年18期 　论文类型：期刊论文

【摘要】：目的探讨品管圈活动对提高神经外科住院患者下肢深静脉血栓形成(DVT)预防护理措施落实的作用。方法成立品管圈,通过头脑风暴方法,选定"提高神经外科住院患者DVT预防护理措施落实率"为主题,通过现状调查及原因分析,找出影响护理措施落实的5项主要原因(预防DVT风险管理模式不健全、医护沟通欠缺、护理人员对预防下肢DVT知识缺乏、预防下肢DVT功能锻炼不到位、健康教育不到位),针对主要原因制定防范对策并实施。结果实施品管圈后住院患者DVT预防护理措施落实率为92.0%,显著高于实施前的46.0%(均P0.05),DVT发生率较实施品管圈前降低。结论对神经外科患者开展品管圈活动,可提高DVT预防措施落实率,最终达到降低DVT发生率的目的,提高专科护理质量。
[Abstract]:Objective to explore the effect of quality control circle activity on improving the preventive nursing measures of DVT of lower extremity deep vein thrombosis (DVT) in inpatients with neurosurgery. Methods the quality control circle was set up and the brainstorming method was adopted. The theme of "improving the implementation rate of DVT preventive nursing measures for inpatients in neurosurgery department" was selected as the theme, and the present situation investigation and cause analysis were carried out. Find out the five main reasons that affect the implementation of nursing measures (prevention of DVT risk management model is not perfect, lack of communication between doctors and nurses, nursing staff to prevent lower limb DVT knowledge. Prevention of lower limb DVT function exercise is not in place, health education is not in place). Results the implementation rate of DVT preventive nursing measures was 92.0, which was significantly higher than that before the implementation of 46.0 (all P 0.05). The incidence of DVT is lower than that before the implementation of quality control circle. Conclusion the implementation rate of DVT preventive measures can be increased by conducting quality control circle activities in neurosurgical patients, and the incidence of DVT can be reduced finally. Improve the quality of specialized nursing.
【作者单位】：广州市第一人民医院神经外科;
【分类号】：R473.6
【正文快照】： 下肢深静脉血栓形成(Deep Venous Thrombo-sis,DVT)是指血液在下肢深静脉腔内不正常凝结,阻塞静脉管腔,导致血液回流障碍[1]。有文献报道,神经外科患者DVT发病率为19%~50%,肺栓塞发病率为1.5%~5%[2]。该病不但增加患者痛苦,且不利于患者功能康复,严重者甚至危及患者生命。有研

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