精益管理理念和方法在骨科重症创伤病人护理管理中的应用分析

目的探讨精益管理理念和方法在骨科重症创伤病人护理管理中的应用效果。方法选取骨科创伤重症病人120例，随机分为精益组和常规组，每组60例，常规组给予常规护理管理，精益组在常规组基础上给予基于精益管理理念和方法的护理管理，比较2组病人疾病知识掌握程度、不良护理事件发生情况、护理满意度和焦虑状态。结果精益组疾病知识掌握程度、护理满意率均明显高于常规组（P < 0.05），精益组干预后7、14 d的SAS评分、不良护理事件发生率均明显低于常规组（P < 0.01和P < 0.05）。结论基于精益管理理念和方法的护理管理可有效改善骨科创伤重症病人的焦虑状态，提高病人疾病知识掌握程度和减少不良护理事件的发生，有利于提高病人的护理满意度，值得临床作进一步推广。

Application effect analysis of the lean management concept and method in the management of the patients with severe trauma in orthopedics

ObjectiveTo discuss the application effects of the lean management concept and method in the management of the patients with severe trauma in orthopedics.MethodsOne hundred and twenty patients with severe trauma in orthopedics were randomly divided into the lean group and routine group(60 cases each group).The routine group was nursed with the routine nursing management, and the lean group was nursed with the lean management concept and method based on the rountine group.The knowledge of disease, incidence of adverse nursing event, care satisfaction and anxiety between two groups were compared.ResultsThe disease knowledge and care satisfaction in lean group were significantly higher than those in routine group(P < 0.05).The nursing satisfaction rate, incidence rate of adverse nursing event and SAS scores in lean group after 7 and 14 d of intervention were significantly lower than those in routine group(P < 0.01 and P < 0.05).ConclusionsThe nursing based on the lean management concept and method can effectively improve the anxiety, disease knowledge and care satisfaction, and reduce the incidence rate of nursing events in orthopedic severe trauma patients.It is worthy of further clinical promotion.