International Journal of Nursing Frontiers. 2018; 1: (1) 1; DOI:10.20900/j.ijnf.20180001.
Objective: To investigate the effect of PDCA nursing program on nosocomial infection in patients with severe traumatic brain injury (STBI) and its effect on neurological function. Methods: 120 patients with STBI were randomly divided into research group and control group,60 patients in each group.The research group received PDCA nursing procedure,the control group received routine nursing procedure. The incidence of nosocomial infection between the two groups were compared,the clinical prognosis was evaluated by National Institutes of Health Stroke Scale (NIHSS) and Barthel index (BI) before and after nursing. Results: The incidence of pulmonary infection,intracranial infection and total nosocomial infection were 3.33%,1.67% and 11.67% in the research group respectively, which were significantly lower than 13.33%,11.67% and 45.00%in the control group respectively ,the differences between the two groups were statistically significant (P<0.05);After nursing,the NIHSS score in the research group was significantly lower than that in the control group, while the BI index was significantly higher than that in the control group (P<0.05);The nursing satisfaction rate in the research group was 91.67%, which was significantly higher than 70.00% in the control group (P<0.05).. Conclusion : PDCA nursing procedure can effectively reduce the incidence of nosocomial infection in STBI patients, which can promote the rehabilitation of neurological function and improve the nursing satisfaction rate of patients.