Journal of Modern Nursing MedicineJPCNS

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.

Medical and nursing linkage; 3D quality management; Microsurgical reconstruction of trauma;Detection rate of vascular crisis