品管圈活动在胸腹联合伤患者院前急救护理中的应用
|
摘要
目的 探讨品管圈活动在胸腹联合伤患者院前急救护理中的应用效果。方法 2016年8月我院成立"救生圈"品管圈,将其用于严重胸腹联合伤患者院前急救护理中。分别从品管圈成立、选定主题、现状把握及分析、要因确认、护理对策及实施、效果确认、标准化急救流程等方面进行干预处理,分析品管圈活动在胸腹联合伤患者院前急救护理中的有形成果和无形成果。结果 品管圈活动后抢救成功率高于活动前(P <0. 05);品管圈活动后残疾率、植物生存率及死亡率均低于活动前(P <0. 05);品管圈活动后全体成员发现并解决问题能力、凝聚力、学习新事物、合作能力、拓展思维及沟通能力均高于活动前(P <0. 05)。结论 品管圈活动用于胸腹联合伤患者院前急救护理中,有助于改善急救结局,降低临床死亡率,提高全体圈员综合能力,值得临床推广应用。
Objective To explore the application effect of quality control circle activity in pre-hospital first – aid and nursing of patients with blessure thoracoabdominale. Methods To rescue the patients with blessure thoracoabdominale,the"life buoy"quality control circle was founded in August2016,meanwhile,the medical procedure was utilized in pre-hospital first – aid and nursing of patients with severe blessure thoracoabdominale. We intervened respectively from foundation of quality control circle activity,selecting topics,status grasping and analysis,confirming the root cause,nursing countermeasures and implementation,verification of effectiveness and standardize first – aid procedure,and analyzed the tangible results and intangible results of quality control circle activity in pre-hospital first – aid and nursing of patients with blessure thoracoabdominale. Results The rescue success rate after quality control circle activity was taller than that of before quality control circle activity( P < 0. 05). The disability rate,vegetable survival rate and death rate after quality control circle activity were lower than those of before quality control circle activity( P < 0. 05). They were taller than before quality control circle activity which ability of finding and solving problems,cohesion,learning new things,cooperation ability,stretch the mind and communication ability( P < 0. 05). Conclusion Quality control circle activity was conducive to improve fist-aid outcomes,cut down the mortality in clinical,enhance comprehensive abilities of all patients in pre-hospital first – aid and nursing of patients with blessure thoracoabdominale,which was worthy of clinical promotion and application.
Objective To explore the application effect of quality control circle activity in pre-hospital first – aid and nursing of patients with blessure thoracoabdominale. Methods To rescue the patients with blessure thoracoabdominale,the"life buoy"quality control circle was founded in August2016,meanwhile,the medical procedure was utilized in pre-hospital first – aid and nursing of patients with severe blessure thoracoabdominale. We intervened respectively from foundation of quality control circle activity,selecting topics,status grasping and analysis,confirming the root cause,nursing countermeasures and implementation,verification of effectiveness and standardize first – aid procedure,and analyzed the tangible results and intangible results of quality control circle activity in pre-hospital first – aid and nursing of patients with blessure thoracoabdominale. Results The rescue success rate after quality control circle activity was taller than that of before quality control circle activity( P < 0. 05). The disability rate,vegetable survival rate and death rate after quality control circle activity were lower than those of before quality control circle activity( P < 0. 05). They were taller than before quality control circle activity which ability of finding and solving problems,cohesion,learning new things,cooperation ability,stretch the mind and communication ability( P < 0. 05). Conclusion Quality control circle activity was conducive to improve fist-aid outcomes,cut down the mortality in clinical,enhance comprehensive abilities of all patients in pre-hospital first – aid and nursing of patients with blessure thoracoabdominale,which was worthy of clinical promotion and application.
引文
[1]马蕊,管静,陈素红,等.内生场深部热疗治疗恶性胸腹水患者的临床护理策略[J].护理实践与研究,2018,15(3):110-111.
[2]滕继平,杨志胤.闭合性胸腹联合伤的特点及治疗[J].创伤外科杂志,2018,20(2):81-83.
[3]杨艳青,谭春兴,李共甜,等.急性心肌梗死突发室颤患者的院前、院内急救护理[J].护理实践与研究,2018,15(11)143-144.
[4]Bennett S,Amath A,Knight H,et al.Conservative versus operative management in stable patients with penetrating abdominal trauma:the experience of a Canadian level 1 trauma centre[J].Canadian Journal Surgery,2016,59(5):317-321.
[5]卢昆.品管圈活动用于神经外科重症患者气管切开术气道护理的效果[J].中国医科大学学报,2018,47(4):379-381.
[6]覃金爱,张影华,李兰兰,等.开颅肿瘤切除术患者预防性使用抗菌药物的干预效果[J].中国感染控制杂志,2017,16(4):363-365.
[7]曹兰芳,尹勇,戴成国,等.运用PDCA降低神经外科医院感染发病率的临床效果[J].中国感染控制杂志,2017,16(11):1012-1015.
[8]张忠原,田源,李晓明,等.品管圈活动在缩短严重创伤患者输血等候时间中的应用效果[J].中国继续医学教育,2016,8(35):31-34.
[9]Fevang E,Perkins Z,Lockey D,et al.A systematic review and meta-analysis comparing mortality in pre-hospital tracheal intubation to emergency department intubation in trauma patients:[J].Critical Care,2017,21(1):192.
[10]戴雪梅.品管圈在预防和降低重度颅脑损伤患者湿疹发生率中的应用[J].护理实践与研究,2016,13(19):129-131.
[11]黄小媛,周雪梅,黄慧程,等.品管圈活动在降低急性白血病院内感染率中的应用[J].广东医学,2016,37(1):273-274.
[2]滕继平,杨志胤.闭合性胸腹联合伤的特点及治疗[J].创伤外科杂志,2018,20(2):81-83.
[3]杨艳青,谭春兴,李共甜,等.急性心肌梗死突发室颤患者的院前、院内急救护理[J].护理实践与研究,2018,15(11)143-144.
[4]Bennett S,Amath A,Knight H,et al.Conservative versus operative management in stable patients with penetrating abdominal trauma:the experience of a Canadian level 1 trauma centre[J].Canadian Journal Surgery,2016,59(5):317-321.
[5]卢昆.品管圈活动用于神经外科重症患者气管切开术气道护理的效果[J].中国医科大学学报,2018,47(4):379-381.
[6]覃金爱,张影华,李兰兰,等.开颅肿瘤切除术患者预防性使用抗菌药物的干预效果[J].中国感染控制杂志,2017,16(4):363-365.
[7]曹兰芳,尹勇,戴成国,等.运用PDCA降低神经外科医院感染发病率的临床效果[J].中国感染控制杂志,2017,16(11):1012-1015.
[8]张忠原,田源,李晓明,等.品管圈活动在缩短严重创伤患者输血等候时间中的应用效果[J].中国继续医学教育,2016,8(35):31-34.
[9]Fevang E,Perkins Z,Lockey D,et al.A systematic review and meta-analysis comparing mortality in pre-hospital tracheal intubation to emergency department intubation in trauma patients:[J].Critical Care,2017,21(1):192.
[10]戴雪梅.品管圈在预防和降低重度颅脑损伤患者湿疹发生率中的应用[J].护理实践与研究,2016,13(19):129-131.
[11]黄小媛,周雪梅,黄慧程,等.品管圈活动在降低急性白血病院内感染率中的应用[J].广东医学,2016,37(1):273-274.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |