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持续质量改进在胆囊结石腹腔镜术后患者早期下床活动中的应用分析 被引量:1

Application Analysis of Continuous Quality Improvement in Early Out of Bed Activities of Laparoscopic Cholecystolithiasis Patients
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摘要 目的分析持续质量改进(PDCA)用于促进胆囊结石患者术后早期下床活动的作用,观察其实施效果。方法选择2019年1月至2019年12月期间收治的140例胆囊结石患者,遵照随机原则分为甲、乙两组,分别给予常规护理与PDCA,对比两组患者术后下床率、VAS评分及住院时间。结果乙组患者术后24h下床率为100.0%,和甲组70.0%相比较,且乙组患者术后第一天VAS评分低于甲组、住院时间短于甲组,差异均有统计学意义(P<0.05)。结论临床针对行外科手术治疗的胆囊结石患者,积极推行PDCA干预措施,有益于减轻患者术后疼痛,减缩下床活动时间,促进出院进程。 Objective to analyze effect of continuous quality improvement(PDCA)in promotion of early out-of-bed activities of cholecystolithiasis patients,and observe its implementation effect.Methods choose 140 cases with gallbladder stones patients between January 2019 and December 2019,divide them into groups A and B according to random principle,treate them with routine nuring and PDCA respectively.Compare postoperative bed-out rate and VAS scores and length of stay between two groups.Results out of bed rate at 24 hours after operation in group B was 100.0%,that of group A was 70.0%,VAS scores of group B were lower than group A on the first day after operation,length of stay was shorter than group A.Difference showed statistical significance,(P<0.05).Conclusion active PDCA intervention measures is beneficial to reduce postoperative pain,reduce out of bed time,and promote discharge process of cholecystolithiasis patients with surgical treatment.
作者 付金婷 FU Jin-ting(General Surgery Department,Optical Valley Campus,Tongji Medical College Afflicted Tongji Hospital,Huazhong University of Science and Technology,Wuhan,Hubei 430030)
出处 《智慧健康》 2020年第18期44-45,共2页 Smart Healthcare
关键词 胆囊结石 腹腔镜 腹部手术 持续质量改进 效果观察 Cholecystolithiasis Laparoscopy Abdominal surgery Continuous quality improvement Effect observation
作者简介 付金婷(1989-),女,土家族,湖北恩施,本科,初级护师,研究方向:外科护理学。
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