精益管理模式在降低卒中患者偏瘫肢体输液率中的应用

Objective To explore the application effect of lean management model in reducing the infusion rate of hemiplegic limb in stroke patients, and to analyze its effect on the rehabilitation outcome of patients. Methods Including patients with stroke and limb hemiplegic who were admitted from June 2024 to August 2025. A lean management project team was established, and the six-step method of lean management was used to identify the root cause through the checklist and 5 Why analysis. Improvement measures such as infusion management system, department communication mechanism, nursing training and performance appraisal were formulated, and rehabilitation outcome indicators such as infusion rate, complications and satisfaction of hemiplegic limbs were evaluated by stages. Results After the improvement of lean management, the infusion rate of hemiplegic limbs of patients was significantly lower than that before the improvement(P<0.05). After improvement, the incidence of edema, phlebitis, disuse atrophy of the affected limb and the overall incidence of complications were lower than those before improvement, the Fugl-Meyer score and Barthel index score of the upper limb were higher than those before improvement, and the length of hospital stay was shorter than that before improvement(P<0.05). The patients' satisfaction with infusion nursing after improvement was higher than that before improvement(P<0.05). Conclusion The lean management model can effectively reduce the infusion rate of hemiplegic limb in stroke patients. At the same time, it can significantly reduce the complications such as edema and phlebitis of the affected limb, promote the recovery of hemiplegic limb function, and improve patient satisfaction.