全面流程管理对神经外科住院患者肺部感染的预防效果

目的探讨全面流程管理对神经外科住院患者肺部感染的预防效果。 方法选取在本院神经外科住院的80例患者作为研究对象，按住院顺序分为对照组和研究组，每组40例。对照组患者实施常规管理，研究组患者实施全面流程管理，比较两组患者的并发症发生率、肺部感染率、病死率、住院时间以及对全面流程管理的满意度。 结果研究组中患者并发症的发生率（17.5%）、肺部感染率（12.5%）以及病死率（2.5%）均显著低于对照组（42.5%、27.5%和12.5%），差异有统计学意义（χ² = 7.259、P = 0.004，t = 3.395、P = 0.032，t = 3.483、P = 0.025）；研究组中患者的住院时间（13.9±5.7 d）显著低于对照组（25.2±4.9 d），差异具有统计学意义（t = 3.867、P = 0.013）；研究组患者对全面流程管理的满意度（82.5%）显著高于对照组（32.5%），差异具有统计学意义（χ² = 31.269、P = 0.000）。 结论全面流程管理有利于降低神经外科住院患者的并发症发生率、肺部感染率以及病死率，缩短患者的住院时间，提高患者的满意度。

The preventive effect of total process management on pulmonary infection of the hospitalized patients in the department of neurosurgery

ObjectiveTo investigate the preventive effect of total process management on pulmonary infection of the hospitalized patients in the department of neurosurgery. MethodsTotal of 80 hospitalized patients in our hospital were selected, and were divided into the control group and the research group, with 40 cases in each group. The control group received the routine management, while the research group were given the total process management. The incidence of complications, the pulmonary infection rate, the fatality rate, the hospitalization time and the satisfaction with total process management of the two groups were compared, respectively. ResultsIncidence of complications (17.5%), the pulmonary infection rate (12.5%) and the fatality rate (2.5%) of the patients in research groups were significantly lower than those of the control group (42.5%, 27.5% and 12.5%), with significant differences (χ² = 7.259, P = 0.004; t = 3.395, P = 0.032; t = 3.483, P = 0.025). The hospitalization time (13.9±5.7 d) of the research group was significantly lower than that of the control group (25.2±4.9 d), with significant difference (t = 3.867, P = 0.013). The satisfaction with total process management (82.5%) of the research group was significantly higher than that of the control group (32.5%), with significant difference (χ² = 31.269, P = 0.000). ConclusionsThe total process management was conducive to reduce the incidence of complications, the pulmonary infection rate and mortality, shorten the hospitalization time and improve the satisfaction of the patient.