品管圈在提高PH患者脾切除术后常见危急值管理规范率中的应用
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摘要
目的探讨品管圈(QCC)活动在提高肝硬化门静脉高压症(PH)患者脾切除术后常见危急值管理规范率的应用效果。方法2017年6月本科室进行QCC活动,成立QCC组织,确立以"提高PH患者脾切术后PLT、D-二聚体等危急值管理规范率"为主题,对活动前危急值管理规范率不高原因进行分析,拟定实施对策,并将活动前后结果进行比较。结果 QCC活动后,危急值管理规范率为93.75%,满意度为95.83%,优于QCC活动前的危急值管理规范率(63.04%)及满意度(80.43%),差异有统计学意义(P<0.05)。结论 QCC活动提高了护士工作积极性,改善了PH患者脾切除术后危急值管理规范率及护理服务满意度,专科护理质量得到持续改进,值得临床借鉴。
Objective To investigate the effect of quality control ring(QCC) activity in improving the management standard rate of common critical value after splenectomy in patients with portal hypertension of liver cirrhosis(PH).Methods In June 2017, our department carried out QCC activities and set up QCC organization and established the theme of "improving the standard rate of critical value management for PLT,D-dimer after splenectomy in patients with PH".We analyzed the causes of the low standard rate of emergency value management before activities, draws up the implementation countermeasures, and compares the results before and after the activities.Results After QCC activity, the standardized rate of critical value management was 93.75% and the satisfaction degree was 95.83%, which was better than that before QCC activity(63.04%) and satisfaction(80.43%),the difference was statistically significant(P <0.05).Conclusion The activity of QCC can improve the enthusiasm of nurses,improve the standard rate of emergency value management and the satisfaction of nursing service after splenectomy in PH patients, and improve the quality of specialized nursing continuously,which is worthy of clinical reference.
Objective To investigate the effect of quality control ring(QCC) activity in improving the management standard rate of common critical value after splenectomy in patients with portal hypertension of liver cirrhosis(PH).Methods In June 2017, our department carried out QCC activities and set up QCC organization and established the theme of "improving the standard rate of critical value management for PLT,D-dimer after splenectomy in patients with PH".We analyzed the causes of the low standard rate of emergency value management before activities, draws up the implementation countermeasures, and compares the results before and after the activities.Results After QCC activity, the standardized rate of critical value management was 93.75% and the satisfaction degree was 95.83%, which was better than that before QCC activity(63.04%) and satisfaction(80.43%),the difference was statistically significant(P <0.05).Conclusion The activity of QCC can improve the enthusiasm of nurses,improve the standard rate of emergency value management and the satisfaction of nursing service after splenectomy in PH patients, and improve the quality of specialized nursing continuously,which is worthy of clinical reference.
引文
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[2]洪文,赵晋明,丛鹏.肝硬化门静脉高压脾切除术后血栓形成的相关因素分析[J].胃肠病学和肝病学杂志,2015,24(11):1319-1323.
[3]陈育建.肝硬化门静脉高压术后血栓形成的相关危险因素[J].中国老年学杂志,2011,31(22):4323-4325.
[4]张秋学,王铁功,杨冬山.肝硬化脾亢患者脾切除后应用抗凝药物预防门静脉系统血栓形成疗效观察[J].河北医药,2011,33(9):1358-1359.
[5]曹德林,仇永贵,赵建美.我国危急值管理现状与思考[J].中国医疗管理科学,2015,5(5):13-16.
[6]黄桂芹,张志深.检验“危急值报告制度”冶在医疗安全管理中的重要性[J].中国医院管理,2010,30(12):46.
[7]张冬磊,杨宁.肝硬化患者门静脉血栓形成的相关危险因素[J].世界华人消化杂志,2008,16(27):3106-3109.
[8]陆春梅,吕娜,赵艳.门脉高压患者脾切除术后血栓形成的预防及护理干预[J].实用临床护理学杂志,2017,2(15):84-85.
[9]黎巧玲,辛爱利.标准化沟通模式在医护沟通中的应用效果观察[J].中国医学伦理学,2016,29(4):583-585.
[10]翁莉萍.护理干预对减少低分子肝素钙腹壁皮下注射致皮下出血的影响[J].齐鲁护理杂志,2011,17(10):61-62.
[11]李静.皮下注射低分子肝素钙的护理体会[J].中国实用医药,2011,6(30):198-199.
[12]詹昱新,王羡科.QCC活动提高神经外科ICU患者护理满意度[J].护理学杂志,2015,30(14):58-61.