Observation on the protective effect of six sigma management on complications in elderly hospitalized patients undergoing hand surgery
六西格玛管理对手外科老年住院患者并发症的防护作用观察

摘要

目的 此文将主要分析针对手外科老年住院患者应用六西格玛管理对并发症的防护是否具有作用。方法 抽取本院2021年1月-2022年12月期间，收治的78例手外科老年住院患者作为研究对象，根据患者意愿将患者归置常规组（行常规管理）与管理组（行六西格玛管理），各组39人，通过比较两种管理模式下患者的管理效果、并发症发生率及生活质量改善情况。结果 管理组患者对护理人员的操作技能、无菌意识、健康教育、服务态度各项评分均优于常规组，P＜0.05；管理组患者并发症发生率显著低于常规组，P＜0.05，可说明六西格玛管理可有效预防手外科老年住院患者并发症的发生；管理前，各组患者各项生活指标均无明显差异（P＞0.05），经不同管理后，管理组患者生活质量各项指标评分均优于常规组，P＜0.05，可证实六西格玛管理可促进患者预后，确保生活品质。结论 针对手外科老年住院患者，应用六西格玛管理，可有效降低并发症的发生，具有较好的防护作用，利于患者预后，提升其生活质量，临床可进一步推广应用。

Abstract

Objective: This article will mainly analyze whether the application of Six Sigma management to elderly hospitalized patients in hand surgery has a protective effect on complications. Method: A total of 78 elderly inpatients in hand surgery admitted to our hospital from January 2021 to December 2022 were selected as the study subjects. According to the patient's wishes, the patients were divided into a routine group (under routine management) and a management group (under six sigma management), with 39 people in each group. The management effectiveness, incidence of complications, and improvement in quality of life of patients under the two management modes were compared. Result: The patients in the management group scored better than the conventional group in terms of nursing staff's operational skills, aseptic awareness, health education, and service attitude, P<0.05; The incidence of complications in the management group was significantly lower than that in the conventional group (P<0.05), indicating that six sigma management can effectively prevent the occurrence of complications in elderly hospitalized patients undergoing hand surgery; Before management, there was no significant difference in various indicators of life among patients in each group (P>0.05). After different management, the quality of life scores of patients in the management group were better than those in the conventional group, P<0.05, which can confirm that six sigma management can promote patient prognosis and ensure quality of life.
Conclusion  : For elderly hospitalized patients in hand surgery, the application of Six Sigma management can effectively reduce the occurrence of complications, have a good protective effect, benefit patient prognosis, and improve their quality of life. It can be further promoted and applied in clinical practice.