目的 探讨全面质量管理程序在降低ICU患者非计划性拔管的作用.方法 将本院ICU 2014年1月-12月收治的235例经口气管插管患者作为全面质量管理程序实施前的研究对象,将本院ICU 2015年1月-12月收治的237例经口气管插管患者作为全面质量管理程序实施后的研究对象.比较FOCUS-PDCA实施前后的非计划性拔管发生率、护士护理综合能力.结果 FOCUS-PDCA程序实施后较实施前非计划性拔管发生率降低、 护士护理综合能力提高,两组比较,差异有统计学意义(均P<0.05).结论 FOCUS-PDCA程序的应用可降低非计划性拔管发生率,提高护理人员护理综合能力.%Objective To observe the effect of FOCUS-PDCA on the unplanned extubation (UEX) in ICU patients. Methods About 237 ICU patients during Jan. to Dec. 2014 were assigned as the control group, where the FOCUS-PDCA program was not used. Another 235 patients during Jan. to Dec. 2015 were assigned as the study group, where the the FOCUS-PDCA program was used. The two groups were compared in view of unplanned extubation rate and nurse's comprehensive ability. Result Compared with the control group, hospitalization time was comprehensively shortened in the observation group and the nurses comprehensive abibity increased (all P<0.05). Conclusion The FOCUS-PDCA program can prevent UEX in ICU patients, reduce the rate of UEX, improve the comprehensive ability of nurses and the quality of nursing.
展开▼
