The role of PDCA cycle in the nursing of patients undergoing endoscopic surgery in urology for infection control in the operating room
PDCA循环应用于泌尿外科腔镜手术患者护理对手术室感染控制的作用

摘要

目的 将PDCA循环用于泌尿外科腔镜手术患者护理中，探究其对手术室感染的控制作用。方法 选取2024年2月-2025年2月本院泌尿外科收治的94例行腔镜手术的患者，随机分组，各组47例，对照组实施常规护理，观察组行PDCA循环护理，对两组干预结果进行评价。结果 干预前，两组空气消毒、物品及器械消毒等4项感染控制质量评分比较，无显著差异（P>0.05），干预后两组各项评分均较干预前明显提高，且组间对比观察组更高（P<0.05）；观察组手术室物表合格率为97.87%、地面合格率为95.74%、空气合格率为93.62%、医护人员手合格率为97.87%、消毒液合格率为95.74%，明显较对照组高（P<0.05）；两组医院感染发生率比较，观察组6.38%更低（P<0.05）。结论 对泌尿外科腔镜手术患者实施PDCA循环护理，既能提高手术室感染控制质量，还可提高手术室感染监测指标合格率，减少医院感染发生，具有推广价值。

Abstract

Objective To apply the PDCA cycle to the nursing care of patients undergoing laparoscopic surgery in urology, and to investigate its effectiveness in controlling operating room infections.
Methods A total of 94 patients who underwent laparoscopic surgery at our hospital from February 2024 to February 2025 were selected and randomly divided into two groups, each consisting of 47 patients. The control group received routine care, while the observation group received PDCA cycle nursing. The intervention effects were evaluated.
Results Before the intervention, there was no significant difference in the four infection control quality scores (air disinfection, item and instrument disinfection) between the two groups (P>0.05). After the intervention, the scores in both groups significantly improved compared to before the intervention, with the observation group showing higher scores (P<0.05). The surface qualification rate of the operating room in the observation group was 97.87%, the floor qualification rate was 95.74%, the air qualification rate was 93.62%, the qualification rate of medical staff hands was 97.87%, and the qualification rate of disinfectant was 95.74%, all significantly higher than those in the control group (P<0.05). The hospital infection incidence rate in the two groups was compared, and the observation group had a significantly lower rate of 6.38% (P<0.05).
Conclusion   Implementing PDCA cycle nursing for patients undergoing laparoscopic surgery in urology can improve the quality of operating room infection control, increase the qualification rate of operating room infection monitoring indicators, and reduce hospital infections, making it a valuable practice to promote.