PDCA循环法用于手术室管理对人员手卫生执行率及护理质量的影响

目的 探讨PDCA循环法用于手术室管理对人员手卫生执行率及护理质量的影响。方法选取2014年5月~2015年6月我院10个重点手术科室120例医护人员为研究对象，采用随机数表法分为观察组和对照组各60例，其中对照组行常规手术室管理，观察组在此基础上采用PDCA循环法对手术室进行管理，比较两组人员手卫生执行率、手卫生知晓率，手术不良事件发生率及两组患者护理满意度。结果干预后观察组手卫生执行率83.3%、手卫生知晓率81.7%与对照组66.7%、65.0%比较显著较高（P<0.05）；观察组手术不良事件发生率23.3%明显低于对照组40.0%（P<0.05）；观察组客户护理满意率88.3%明显高于对照组73.3%（P<0.05）。结论PDCA循环法用于手术室管理可有效提高人员手卫生执行率、知晓率，并改善护理质量，值得在临床广泛推广。 

Effect of PDCA circulation method applied in operation room management on the implementation rate of hand hygiene and nursing quality of personnel

Objective To investigate the effect of PDCA circulation method applied in operation room management on the implementation rate of hand hygiene and nursing quality of personnel. Methods A total of 120 cases of medical staffs in 10 key operation sections were selected as study subjects between May 2014 and June 2015. By the random number table method, they were divided into observation group and control group, 60 cases in each. The control group implemented routine operation room management. On the basis, the observation group adopt PDCA circulation method to manage the operation room. The implementation rate of hand hygiene, awareness rate of hand hygiene, incidence of adverse events and patients' satisfaction to nursing were compared between the two groups. Results After intervention, the implementation rate and awareness rate of hand hygiene in the observation group (83.3%, 81.7%) were significantly higher than those in the control group (66.7%, 65.0%) (P<0.05); The incidence rate of adverse events in the observation group (23.3%) was lower than that in the control group (40.0%) (P<0.05); The patients’satisfaction to nursing in observation group (88.3%) was significantly higher than that in the control group (73.3% ) (P<0.05). Conclusion The application of PDCA circulation method in operation room management can effectively improve the implementation rate and awareness rate of hand hygiene, and improve the nursing quality, which is worthy of clinical promotion.