品管圈活动在提高心脏手术患者术后早期饮水控制配合率中的应用
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摘要
目的探讨品管圈活动在提高心脏手术患者术后早期饮水控制配合率中的效果。方法在品管圈活动前先对心脏手术患者术后早期饮水控制配合情况进行调查分析,从原因中找出整改措施,按品管圈程序开展实施和效果确认。结果开展品管圈活动后心脏手术患者术后早期饮水控制配合率高于活动前,差异有统计学意义(χ~2=4.44,P=0.047),品管圈成员在品管工具运用能力、团队合作、专业知识、沟通能力、活动信心、责任荣誉等方面的自我评价均较高于改善前。结论运用品管圈能有效改善心脏手术患者术后早期饮水控制配合情况,并提高成员持续质量改善的能力。
Objective To investigate the effect of QCC on the improvement of coordination rate of fluid intake control in the early stage after operation in patients undergoing cardiac surgery. Methods To investigate and analyze the situation of the coordination situation of fluid intake control of the cardiac surgery patients in the early stage after the operation,and carry out quality management circle activities to improve the coordination rate. Results The coordination rate of fluid intake control in the early stage after operation in patients undergoing cardiac surgery was significantly improved after QCC activity(χ~2=4.44,P=0.047),and the group members were more confident in the tool using ability,team cooperation,professional knowledge,communication ability,responsibility and honor of the self evaluation. Conclusion The application of QCC can effectively improve patients' coordination of fluid intake control in the early stage after cardiac surgery,and improve group members' ability of the continuous quality improvement of the members.
Objective To investigate the effect of QCC on the improvement of coordination rate of fluid intake control in the early stage after operation in patients undergoing cardiac surgery. Methods To investigate and analyze the situation of the coordination situation of fluid intake control of the cardiac surgery patients in the early stage after the operation,and carry out quality management circle activities to improve the coordination rate. Results The coordination rate of fluid intake control in the early stage after operation in patients undergoing cardiac surgery was significantly improved after QCC activity(χ~2=4.44,P=0.047),and the group members were more confident in the tool using ability,team cooperation,professional knowledge,communication ability,responsibility and honor of the self evaluation. Conclusion The application of QCC can effectively improve patients' coordination of fluid intake control in the early stage after cardiac surgery,and improve group members' ability of the continuous quality improvement of the members.
引文
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[4]黄彩云,覃红梅.品管圈在降低ICU患者气管插管非计划性拔管发生率中的应用[J].中国护理管理,2013,13(8):47-49.
[5]秦微.择期手术患者术前禁食禁饮时间的研究进展[J].中华护理杂志,2014,49(1):76-79.
[6]周萌,胡可鉴,石丽,等.心脏术后患者发生获得性吞咽障碍的危险因素分析[J].中华护理杂志,2016,51(4):420-423.
[7]王临润,汪洋,张相宜,等.品管圈管理在医疗机构中的应用价值[J].医药导报,2012,31(6):823-824.
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