计划-执行-检查-行动循环与 CT 引导下择期骨科手术老年患者防控医院感染中的加速康复护理
Plan-Do-Check-Action Circulation Combined with Accelerated Rehabilitation Nursing under Computed Tomography in Prevention and Control of Hospital Infection in Elderly Patients Undergoing Elective Orthopedic Surgery.
机构信息
Fever Clinic, The Third Affiliated Hospital Hengyang Medical School, University of South China, Hengyang 421900, Hunan, China.
Department of Nursing, The Third Affiliated Hospital Hengyang Medical School, University of South China, Hengyang 421900, Hunan, China.
出版信息
Contrast Media Mol Imaging. 2022 Apr 25;2022:4574730. doi: 10.1155/2022/4574730. eCollection 2022.
To explore the adoption of plan-do-check-action (PDCA) circulation combined with accelerated rehabilitation nursing based on gemstone spectral imaging computed tomography (GSICT) in the prevention and control of hospital infection in the elderly patients undergoing the elective orthopedic surgery, 80 elderly patients who underwent the elective orthopedic surgery in the hospital were selected. Then, according to the randomized controlled principle, these 80 patients were divided into control group (40 cases) with conventional nursing and observation group (40 cases) with accelerated rehabilitation surgical nursing combined with PDCA circulation. All the patients underwent the GSICT examination without any contraindicators. Compared with the conventional CT scan, metal artifacts in GSICT were considerably reduced. In the images processed by GSI and metal artifacts reduction system (MARS), metal artifacts were basically eliminated and the positions, forms, and edges of metal artifacts in the human body were clearly presented. Hospital infection occurred in 1 (2.5%) patient in the observation group and 5 (12.5%) patients in the control group, and the difference was statistically significant ( < 0.05). In terms of temperature increase, patients in control group (37.5%) had a remarkably higher value than that of observation group (7.5%). The increase rate of white blood cell (WBC) count in control group (12.5%) was obviously higher than that in observation group (2.5%). Besides, the differences were statistically significant ( < 0.05). After PDCA circulation combined with accelerated rehabilitation nursing mode was applied, the hospitalization time of observation group (5.3 ± 2.4 days) was markedly lower than that of control group (9.7 ± 3.8 days). Moreover, the total hospitalization cost of observation group (791.44 yuan) was notably lower than that of control group (4068.96 yuan), with significant differences ( < 0.05). Nursing satisfaction in observation group (92.5%) was higher than that in control group (77.5%), and the difference was statistically significant ( < 0.05). In short, GSICT could effectively reduce beam hardening artifacts and metal implant artifacts and improve image quality. Furthermore, accelerated rehabilitation nursing combined with PDCA circulation could effectively reduce the incidence of hospital infection and improve nursing satisfaction.
为了探讨基于宝石光谱成像计算机断层扫描（GSICT）的计划-执行-检查-行动（PDCA）循环在预防和控制老年择期骨科手术患者医院感染中的应用，选取了 80 名在我院行择期骨科手术的老年患者。然后，根据随机对照原则，将这 80 名患者分为对照组（40 例）和观察组（40 例），分别接受常规护理和加速康复外科护理联合 PDCA 循环。所有患者均无 GSICT 检查禁忌证。与常规 CT 扫描相比，GSICT 中的金属伪影明显减少。在 GSI 和金属伪影减少系统（MARS）处理的图像中，基本消除了金属伪影，清晰地显示了人体金属伪影的位置、形态和边缘。观察组发生医院感染 1 例（2.5%），对照组发生医院感染 5 例（12.5%），差异有统计学意义（ < 0.05）。观察组患者体温升高（37.5%）明显低于对照组（7.5%），差异有统计学意义（ < 0.05）。对照组白细胞（WBC）计数升高率（12.5%）明显高于观察组（2.5%），差异有统计学意义（ < 0.05）。观察组患者住院时间（5.3 ± 2.4 天）明显低于对照组（9.7 ± 3.8 天），差异有统计学意义（ < 0.05）。观察组患者总住院费用（791.44 元）明显低于对照组（4068.96 元），差异有统计学意义（ < 0.05）。观察组患者护理满意度（92.5%）明显高于对照组（77.5%），差异有统计学意义（ < 0.05）。总之，GSICT 能有效减少射线硬化伪影和金属植入物伪影，提高图像质量；加速康复护理联合 PDCA 循环可有效降低医院感染发生率，提高护理满意度。
Zotero 插件