Contemporary Nursing

Objective To analyze the occurrence and high-risk factors of delirium in hospitalized stroke patients in the neurology department, implement quality improvement through quality control circle activities, formulate and implement intervention measures, reduce the incidence of delirium, standardize prevention and control processes, and improve nursing quality and patient safety. Methods Forty stroke patients in the neurology department from December 19, 2024 to January 23, 2025 were selected, and data on delirium occurrence and risk factors were collected through a questionnaire survey. The current situation and factors were analyzed; Set improvement goals based on literature, conduct root cause verification through questionnaire surveys, implement countermeasures for core issues, and compare observation indicators before and after improvement. Results The incidence of delirium in stroke patients was improved by 35%, with iatrogenic factors and physiological/physical factors being the main risk factors, accounting for a cumulative proportion of 75.8%; After targeted intervention, the incidence of delirium decreased to 18%, achieving the predetermined target. Conclusion Quality control circle activities can effectively identify the key issues of delirium in stroke patients, significantly reduce the incidence rate through precise intervention, standardize prevention and control processes, and improve the quality of neurology nursing, which is worthy of clinical promotion.

Quality control circle; Stroke; Delirium; Risk factors; Nursing intervention; Incidence