Medical and nursing linkage and multi-pronged approach - based on three-dimensional quality management toreduce the detection rate of vascular crisis in patients undergoing trauma micro reconstruction surgery
医护联动多管齐下—基于三维质量管理对创伤显微重建术术后患者降低血管危象探查率

摘要

目的 分析医护联动多管齐下—基于三维质量管理对创伤显微重建术术后患者降低血管危象探查率 情况。方法 选取 2022 年 1 月-8 月收治显微重建术 40 例作为对照组，2023 年 1 月到 8 月收治显微重建术 77 例 作为试验组。对照组按以往常规显微重建术病人的观察要点进行观察，试验组实施医护联动多管齐下—基于三维 质量管理。对比两组管理后产生的效果。结果 2023 年 1-8 月份，显微重建术共计 77 例，出现血管危象探查为 5 例，2022 年 1-8 月份，显微重建术共计 40 例，血管危象探查为 4 例，与去年同期相比，血管危象探查率下降至 3.5%。在降低血管危象探查率方面，实验组低于对照组,但两组无明显差异（P＞0.05）。在管理方法满意度评分 方面，实验组明显高于对照组；在显微重建术后患者的存活率方面，实验组明显高于对照组；实验组不良事件发 生率明显低于对照组（P<0.05）均为差异显著，有统计学意义。结论 医护联动多管齐下—基于三维质量管理能 够有效降低创伤显微重建术术后患者降低血管危象探查率，值得重视并积极采纳。

Abstract

Objective To analyze the reduction of vascular crisis detection rate in patients undergoing trauma micro reconstruction surgery based on three-dimensional quality management under the multi pronged coordination of medical and nursing cooperation. Method 40 cases of micro reconstruction surgery admitted from January to August 2022 were selected as the control group, and 77 cases of micro reconstruction surgery admitted from January to August 2023 were selected as the experimental group. The control group was observed according to the observation points of patients undergoing conventional microscopic reconstruction surgery in the past, while the experimental group implemented a multi-pronged approach of medical and nursing cooperation based on three-dimensional quality management. Compare the effects of two groups of management. Result From January to August 2023, there were a total of 77 cases of micro reconstruction surgery and 5 cases of vascular crisis exploration. From January to August 2022, there were a total of 40 cases of micro reconstruction surgery and 4 cases of vascular crisis exploration. Compared with the same period last year, the rate of vascular crisis exploration decreased to 3.5%. In terms of reducing the detection rate of vascular crisis, the experimental group was lower than the control group, but there was no significant difference between the two groups (P>0.05). In terms of satisfaction rating of management methods, the experimental group was significantly higher than the control group; In terms of survival rate of patients after micro reconstruction surgery, the experimental group was significantly higher than the control group; The incidence of adverse events in the experimental group was significantly lower than that in the control group (P<0.05), indicating significant differences and statistical significance.
Conclusion   The multi pronged approach of medical and nursing collaboration - based on 3D quality management - can effectively reduce the incidence of vascular crisis exploration in patients undergoing trauma micro reconstruction surgery, which is worthy of attention and active adoption.