品管圈活动对心脏外科手术的影响研究

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英文篇名：The impact of quality control circle on cardiac surgical procedures 作者：沈海萍 ; 陈小妹 ; 韩翠兰 ; 王瑜 ; 滕蓓娜 英文作者：SHEN Hai-ping;CHEN Xiao-mei;HAN Cui-lan;WANG Yu;TENG Bei-na;Zhejiang Greentown Cardiovascular Hospital; 关键词：品管圈 ; 心脏 ; 外科 ; 器械 ; 完善率 ; 护理 英文关键词：Quality control circle;;Heart;;Surgery;;Equipment;;Perfection rate;;Nursing 中文刊名：ZGYC 英文刊名：Chinese Preventive Medicine 机构：浙江绿城心血管病医院; 出版日期：2019-04-15 出版单位：中国预防医学杂志 年：2019 期：v.20 基金：杭州市卫生科技计划项目(2016B66) 语种：中文; 页：ZGYC201904026 页数：4 CN：04 ISSN：11-4529/R 分类号：104-107

摘要

目的分析品管圈活动对心脏外科手术的影响。方法选取2016年3月至2018年6月,浙江绿城心血管病医院行心脏外科手术治疗患者88例,按手术器械准备方法的不同随机分为对照组和观察组,每组44例,对照组按常规方法准备,观察组按品管圈方法准备,观察两组对手术器械准备完善率的影响。结果观察组医师满意度(95.45%)高于对照组(70.45%),差异有统计学意义(χ~2=9.72,P=0.002);观察组器械准备完善率(93.18%)高于对照组(77.27%),差异有统计学意义(χ~2=4.42,P=0.035)。观察组护士加班时间少于对照组(P=0.000);观察组员工成长情况好于对照组(P<0.05);观察组患者手术时间(76.76±33.56)min,对照组(112.12±21.32)min,差异有统计学意义(t=5.899,P=0.000)。观察组患者住院时间(9.0±1.0)d,对照组(11.5±3.8)d,差异有统计学意义(t=4.220,P=0.000)。结论品管圈活动对提高心脏外科手术具有积极的影响,可有效提高工作效率。
        Objective To evaluate the impact of quality control circle(QCC) on cardiac surgical procedures. Methods Eighty-eight patients who underwent cardiac surgery in our hospital were enrolled and randomly divided into control group(n=44) and study group(n=44) according to the surgical instrument preparation methods.Patients in control group were conventionally prepared for the surgery, while patients in study group were prepared using QCC method.The impact of QCC on surgical instrument preparedness was analyzed. Results The satisfaction rate of surgeons was significantly higher in the study group than in control group(95.45% vs 70.45%;χ~2=9.72, P=0.002).The perfection rate of surgical instrument preparedness was also significantly higher in study group(93.18% vs 77.27%, χ~2=4.42, P=0.035).The overtime working hours of the nurses in the study group were significantly shorter than the control group(P=0.000).Also, there were significant differences in operation time and length of hospital stay between the two groups [(76.76 ± 33.56 vs 112.12 ± 21.32) min;(9.0±1.0 vs 11.5 ± 3.8) d; t=5.899,4.220,P=0.000]. Conclusions Quality control circle has positive impact on cardiac surgical procedure, which can effectively improve working efficiency.

引文

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