Application of PDCA cycle management in animal bite wound management in emergency department

doi:10.3760/cma.j.issn.1007-1245.2023.23.041

Abstract

Abstract:

Objective　To explore the application effect of PDCA (plan-do-check-action) cycle management in animal bite wound management in emergency department. Methods　A retrospective analysis was conducted on the clinical data of 200 animal bite patients admitted to the emergency department of the First Affiliated Hospital of Xiamen University from January to June 2023. From January to March 2023, 100 patients admitted during the routine emergency management period were set as the control group; from April to June 2023, 100 patients admitted during the PDCA cycle management were set as the observation group. The control group included 56 males and 44 females, aged (40.29±6.43) years; the observation group included 59 males and 41 females, aged (39.63±6.89) years. The quality of emergency management, wound healing level, wound healing status, and degree of wound pain were compared between the two groups. t test, χ² test, and rank sum test were used. Results　The incidence of difficult to clean and easy to slip in the observation group was lower than that in the control group [0 vs. 6.00% (6/100)], and the compliance rate for wound flushing [98.00% (98/100)], seat comfort rate [97.00% (97/100)], and wound management standardization rate [99.00% (99/100)] were higher than those in the control group [89.00% (89/100), 85.00% (85/100), and 91.00% (91/100)], with statistically significant differences (χ²=4.296, 6.664, 8.791, and 6.737; P=0.038, 0.010, 0.003, and 0.009). The wound healing effect of the observation group was better than that of the control group, and the degree of wound pain was less than that of the control group, with statistically significant differences (Z=4.521 and 3.443, both P<0.05). The wound healing time and scar width in the observation group were (9.63±2.11) d and (35.36±4.05) mm, which were shorter than those in the control group [(12.47±3.48) d and (43.31±5.64) mm], and the number of visits was less than that in the control group [(4.35±0.58) vs. (5.11±0.76)], with statistically significant differences (t=6.978, 11.594, and 7.950, all P<0.001). Conclusion　PDCA cycle management can improve the quality of emergency management, standardize the animal wound management, and accelerate the wound healing.

Key words:

Animal bites, Wound treatment, Wound healing, Pain, PDCA cycle management

摘要：

目的　探讨计划（plan）、实施（do）、检查（check）、处理（action）（PDCA）循环管理在急诊科动物咬伤伤口处理中的应用效果。方法　回顾性分析2023年1月至6月厦门大学附属第一医院急诊科收治的200例动物咬伤患者临床资料，将2023年1月至3月采取常规急诊管理期间收治的100例患者设为对照组，其中男56例，女44例，年龄（40.29±6.43）岁；2023年4月至6月采取PDCA循环管理期间收治的100例患者设为观察组，其中男59例，女41例，年龄（39.63±6.89）岁。对比两组急诊管理质量、伤口愈合等级、伤口愈合情况、伤口疼痛程度。采用t检验、χ²检验、秩和检验。结果　观察组的不易清洗易滑倒发生率低于对照组［0比6.00%（6/100）］；伤口冲洗依从率［98.00%（98/100）］、座椅舒适度［97.00%（97/100）］、伤口处理规范率［99.00%（99/100）］，高于对照组［89.00%（89/100）、85.00%（85/100）、91.00%（91/100）］，差异均有统计学意义（χ²=4.296、6.664、8.791、6.737，P=0.038、0.010、0.003、0.009）；观察组伤口愈合效果优于对照组，伤口疼痛程度轻于对照组，差异有统计学意义（Z=4.521、3.443，均P<0.05）；观察组伤口愈合时间（9.63±2.11）d、瘢痕宽度（35.36±4.05）mm，均短于对照组的（12.47±3.48）d、（43.31±5.64）mm，就诊次数少于对照组［（4.35±0.58）次比（5.11±0.76）次］，差异均有统计学意义（t=6.978、11.594、7.950，均P<0.001）。结论　PDCA循环管理能提高急诊管理质量、动物伤口处理规范率，加快伤口愈合。

关键词:

动物咬伤, 伤口处理, 伤口愈合, 疼痛, PDCA循环管理

Xu Jinyun.

Application of PDCA cycle management in animal bite wound management in emergency department [J]. International Medicine and Health Guidance News, 2023, 29(23): 3507-3510.

许锦云.

PDCA循环管理在急诊科动物咬伤伤口处理中的应用研究 [J]. 国际医药卫生导报, 2023, 29(23): 3507-3510.

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