持续质量改进循环程序模式在颅脑手术患者术后肺部感染风险管理中的应用价值

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Abstract Objective To explore the application of continuous quality improvement cycle (FOCUS-PDCA) program model in postoperative lung infection risk management of patients undergoing craniocerebral surgery. Methods A total of 88 patients who underwent craniocerebral surgery from January 2018 to September 2020 in Pingxiang Third People′s Hospital were selected and divided into control group (n=43) and observation group (n=45) according to the difference in management mode during the treatment process. The patients in the control group were given conventional nursing mode after surgery, and the patients in the observation group were managed according to 9 steps in the Focus-PDCA procedure mode. The incidence of postoperative pulmonary infection, duration of infection, catheter insertion time, ICU observation time and total hospital stay of the two groups were compared, and the nursing satisfaction of the two groups in the treatment process was compared. Results The incidence of postoperative pulmonary infection in the observation group was lower than that in the control group, the duration of infection in the observation group, tube-in-tube time,ICU observation time and total hospitalization time were shorter than the control group, and the differences were statistically significant (P＜0.05). The nursing satisfaction rate of the observation group was higher than that of the control group, the difference was statistically significant (P＜0.05). Conclusion The FOCUS-PDCA program mode can significantly reduce the incidence of pulmonary infections in patients undergoing craniocerebral surgery, shorten the time of catheterization, ICU observation time, and hospital stay, promote patient recovery, and improve patient satisfaction with treatment.

Key words： Continuous quality improvement cycle Craniocerebral surgery Pulmonary infection Risk management

Received: 12 October 2020

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I12/175

[1]	杨坚娥，肖瑜，潘晗.改良集束化护理方案预防颅脑手术患者肺部感染的临床研究[J].中国医学创新，2016，13（9）：85-88.
[3]	孙惠华，杨利英，项梦娇，等.运用FOCUS-PDCA 程序降低外来医疗器械灭菌湿包发生率[J].护理研究，2018，32（14）：2232-2237.
[5]	袁秀娟，袭龙祥，陈爱军，等.FOCUS-PDCA 对化疗患者肺部感染的预防效果[J].中华医院感染学杂志，2018，28（6）：852-858.
[6]	张金蓉，魏章英，崔吉宏.重型颅脑损伤并发颅内感染患者肺部感染的影响因素及病原学特点[J].中华医院感染学杂志，2019，29（9）：1363-1366.
[2]	Wang K，Chen Y，Zhang P，et al.Protective Features of Autophagy in Pulmonary Infection and Inflammatory Diseases[J].Cells，2019，8（2）：123.
[4]	Saxena S，Ramer L，Shulman IA.A comprehensive assessment program to improve blood-administering practices using the FOCUS-PDCA model[J].Transfusion，2004，44（9）：1350-1356.
[7]	杜晓光，董保忠，李琛，等.ICU 重型颅脑损伤患者肺部感染的影响因素与抗菌药物使用情况研究[J].中华医院感染学杂志，2017，27（22）：5145-5148.
[8]	Maraiki F，Farooq F，Ahmed M.Eliminating the use of intravenous glass bottles using a FOCUS-PDCA model and providing a practical stability reference guide[J].Int J Pharm Pract，2016，24（4）：271-282.
[9]	杨坚娥，肖瑜.改良集束化护理在预防颅脑手术后肺部感染中的应用[J].中西医结合护理（中英文），2017，3（4）：47-49.
[10]	姚珍莹.庆大霉素联合沐舒坦氧驱动雾化吸入预防颅脑手术后肺部感染的效果观察[J].海南医学，2014，25（2）：245-247.
[11]	杨坚娥，黄菊.颅脑手术围术期实施预见性护理对肺部感染的预防作用研究[J].中国当代医药，2017，24（12）：167-169.
[12]	孙林，张玲.基于FOCUS-PDCA 程序的优质护理对重型颅脑损伤患者院内感染的影响[J].河北医药，2017，39（4）：622-625.
[13]	纪蓉，宋爱霞，戈蕾，等.老年脑梗死隐性误吸病人应用FOCUS-PDCA 指导下护理的临床观察[J].护理研究，2016，30（3）：850-852.
[14]	邢季伟，武燕燕，柴源，等.FOCUS-PDCA 模式在老年肌少症患者生活质量和日常生活能力提升中的作用[J].中国医药导报，2018，15（25）：160-163.
[15]	胡玲红.应用FOCUS-PDCA 程序降低神经外科病人院内获得性感染发生率[J].护理实践与研究，2016，13（11）：44-46.
[16]	乔宏彬，孔莎.FOCUS-PDCA 程序模式在预防外科术后感染中的应用效果[J].中国医药科学，2020，10（10）：135-137.
[17]	闫明瑞.ICU 重型颅脑损伤后颅内感染患者肺部感染特点及其影响因素研究[J].中国现代药物应用，2019，13（16）：29-30.
[18]	吴杰，曾范慧，高亢，等.品管圈在降低重度颅脑损伤患者肺部感染中的应用[J].中国感染控制杂志，2019，18（5）：451-454.
[19]	范盾聪，赵振华，孙丹青.早期高能量密度肠内营养对重型颅脑损伤病人肺部感染的影响[J].肠外与肠内营养，2020，27（1）：28-32.
[20]	何连艳，邬敏志，黄海英，等.FOCUS-PDCA 程序在ICU留置导尿患者导管相关尿路感染风险管理中的应用[J].护理实践与研究，2018，15（7）：140-142.