摘要
目的:分析计划实施检查处置(PDCA)程序在重症脑出血(CH)术后昏迷患者中的应用效果。方法:选取2019年1月—2020年9月期间郑州大学人民医院收治的100例重症CH术后昏迷患者进行回顾性研究。常规组49例予以常规护理干预,研究组51例在常规组基础上予以PDCA程序干预。比较两组患者恢复进程(机械通气时长、苏醒时间、ICU住院时间及总住院时长)、干预后意识恢复情况[格拉斯哥昏迷量表(GCS)评分]及并发症发生率[继发感染、压疮、深静脉血栓(DVT)及便秘]。结果:研究组机械通气时长、苏醒时间、ICU住院时间、总住院时长均短于常规组,差异有统计学意义(t=3.565、4.548、3.691、4.693,P<0.05);干预后研究组意识恢复情况优于常规组,差异有统计学意义(χ^(2)=6.587,P<0.05);研究组继发感染、压疮、DVT、便秘发生率均低于常规组,差异有统计学意义(χ^(2)=5.327、4.650、4.665、4.662,P<0.05)。结论:PDCA程序应用于重症CH术后昏迷患者,可促进患者意识恢复,降低相关并发症发生率,进而缩短患者恢复时间。
Objective:To analyze the application effect of the plan-do-check-action(PDCA)procedure in patients with coma after severe cerebral hemorrhage(CH).Methods:From January 2019 to September 2020,100 patients with severe CH in the hospital who were comatose after surgery were selected for a retrospective study.The conventional group(49 cases)was given routine nursing intervention,and on this basis,the study group(51 cases)was given PDCA program intervention.The recovery process(length of mechanical ventilation,wake-up time,length of ICU hospitalization,total length of hospitalization),recovery of consciousness after intervention(Glasgow Coma Scale[GCS]score),and complication rate(secondary infection,pressure ulcer,deep vein thrombosis[DVT],constipation)were compared between the two groups.Results:The length of mechanical ventilation,wake-up time,length of stay in ICU,and total length of stay in the study group were shorter than those in the conventional group,with statistically significant difference(t=3.565,4.548,3.691,4.693,P<0.05).After the intervention,the recovery of consciousness in the study group was better than that in the conventional group,with statistically significant difference(χ^(2)=6.587,P<0.05).The incidence of secondary infection,pressure ulcer,DVT,and constipation in the study group were lower than those in the conventional group,with statistically significant difference(χ^(2)=5.327,4.650,4.665,4.662,P<0.05).Conclusion:The application of PDCA procedure to patients with severe coma after CH can promote the recovery of consciousness,reduce the incidence of related complications,and shorten the recovery time of patients.
作者
乔丽娜
宁芳艺
周东阳
Qiao li-na;Ning Fang-yi;Zhou Dong-yang(Department of Neurosurgery,People’s Hospital of Zhengzhou University,Henan Provincial People’s Hospital,Zhengzhou,Henan,450003,China)
出处
《黑龙江医学》
2022年第2期246-248,共3页
Heilongjiang Medical Journal
关键词
计划实施检查处置
重症脑出血
昏迷
并发症
恢复进程
意识
Plan-do-check-action
Severe cerebral hemorrhage
Coma
Complications
Recovery process
Consciousness
