PDCA循环联合促发点前瞻控制对肺癌胸腔镜手术患者术中危机事件及护理质量的影响

目的探讨PDCA循环联合促发点前瞻控制对肺癌胸腔镜手术患者术中危机事件及护理质量的影响。方法选择2017年8月至2019年8月在我院进行肺癌胸腔镜手术的121例患者作为研究对象,按照随机数字表法分为对照组60例和观察组61例,对照组实施常规护理,观察组在对照组基础上实施PDCA循环联合促发点前瞻控制护理。比较两组患者术中危机事件发生率和护理质量评分。结果观察组颈髓损伤、出血、皮肤压伤、肺水肿、心律失常、肿瘤扩散危机事件发生率低于对照组(P<0.05);观察组患者对医护人员的处理能力、协调能力、护理能力、责任心评分均高于对照组(P<0.05)。结论应用PDCA循环联合促发点前瞻控制处理肺癌胸腔镜手术患者术中危机事件,有效改善护理质量,降低危机事件发生频率,值得推广和应用。

Effects of applying PDCA cycle combined with proactive trigger point-control for crisis events and quality of nursing in patients with lung cancer undergoing thoracoscopic surgery

Objective To explore the effect of PDCA cycle combined with proactive trigger point-control for crisis events and quality of nursing in patients with lung cancer undergoing thoracoscopic surgery.Methods To select 121 cases of patients with lung cancer who underwent thoracoscopic surgery in our hospital from August 2017 to August 2019 as the study subjects.They were divided into a control group of 60 cases and an observation group of 61 cases according to the random number table method.The control group was given routine nursing,and the observation group was given PDCA cycle combined with proactive trigger point-control nursing on the basis of the control group.The incidence rate of crisis events and quality of nursing scores were compared between patients of the two groups.Results The incidence rate of cervical spinal cord injury,bleeding,skin pressure injury,pulmonary edema,arrhythmia,and incidence of tumor spread crisis events in the observation group were lower than those in the control group(P<0.05).Patients in the observation group had higher scores for treatment ability,coordinate ability,nursing ability and responsibility of medical staff than those of the control group(P<0.05).Conclusion The application of PDCA cycle combined with the provocation trigger point-control for crisis events in patients with lung cancer undergoing thoracoscopic surgery could effectively improve the quality of nursing and reduce the frequency of crisis events,which was worth popularizing and applying.