品管圈活动对胃肠外科护理质量及患者护理满意度的影响
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摘要
目的:观察分析胃肠外科实施品管圈活动对护理质量及患者护理满意度的影响。方法:分别选取我院开展品管圈活动之前半年内和之后半年内胃肠外科住院手术治疗患者各200例分设为对照组和观察组,对照组患者予常规护理干预,观察组在对照组护理干预基础上按品管圈管理步骤实施各项活动,观察比较两组患者不良事件、并发症发生及患者护理满意度的差异。结果:观察组护理不良事件和术后并发症发生率分别为2.0%和3.5%,低于对照组的6.0%和9.0%,患者护理满意度为98.5%,高于对照组的93.0%,差异均有统计学意义(均P<0.05)。结论:胃肠外科开展品管圈活动能够有效地持续改进护理质量,提高护理人员工作的积极性和主动性,减少不良事件和并发症的发生,提高患者的护理满意度,值得临床推广应用。
Objective: To observe and analyze the effect of quality control circle( QCC) activities on nursing quality and nursing satisfaction degree in gastrointestinal surgery patients. Methods: Two hundred cases of patients treated with surgery half a year before QCC activities were assigned into the control group,and another 200 cases of patients hospitalized for half a year after the implementation of QCC activities were served as observation group.Patients in the control group were given routine nursing intervention,while in the observation group,various activities were implemented according to the management steps of QCC in addition to routine nursing intervention.The differences of adverse events,complications and nursing satisfaction between the two groups were observed and compared. Results: The adverse events and the incidence of postoperative complications in the observation group were 2. 0% and 3. 5% respectively,which were lower than those( 6. 0% and 9. 0%) of the control group. The nursing satisfaction was 98. 5%,which was higher than 93% of the control group,the differences being statistically significant( P < 0. 05). Conclusion: QCC activities conducted in gastrointestinal surgery patients can effectively improve the nursing quality,the enthusiasm and initiative of the nursing staff,reduce the occurrence of adverse events and complications and improve nursing satisfaction of patients,and it is worthy of clinical application.
Objective: To observe and analyze the effect of quality control circle( QCC) activities on nursing quality and nursing satisfaction degree in gastrointestinal surgery patients. Methods: Two hundred cases of patients treated with surgery half a year before QCC activities were assigned into the control group,and another 200 cases of patients hospitalized for half a year after the implementation of QCC activities were served as observation group.Patients in the control group were given routine nursing intervention,while in the observation group,various activities were implemented according to the management steps of QCC in addition to routine nursing intervention.The differences of adverse events,complications and nursing satisfaction between the two groups were observed and compared. Results: The adverse events and the incidence of postoperative complications in the observation group were 2. 0% and 3. 5% respectively,which were lower than those( 6. 0% and 9. 0%) of the control group. The nursing satisfaction was 98. 5%,which was higher than 93% of the control group,the differences being statistically significant( P < 0. 05). Conclusion: QCC activities conducted in gastrointestinal surgery patients can effectively improve the nursing quality,the enthusiasm and initiative of the nursing staff,reduce the occurrence of adverse events and complications and improve nursing satisfaction of patients,and it is worthy of clinical application.
引文
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[7]胡维书,吴琦,骆飞源,等.应用品管圈降低气管插管患者非计划性拔管率效果分析[J].重庆医学,2014,43(16):2106-2107.
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[9]张小霓,张丽虹,林财珠,等.不同全麻维持方式对胃肠外科手术患者苏醒期躁动的影响[J].郑州大学学报:医学版,2012,47(2):262-264.
[10]沈国美,夏琴,代后珍,等.品管圈活动在降低医务人员职业暴露发生率中的应用效果观察[J].护士进修杂志,2015,(2):119-122.
[2]谢春燕,占春媚,王敏,等.胃肠外科手术患者感染的因素分析及预防对策[J].中华医院感染学杂志,2014,24(24):6171-6173.
[3]汤建燕,邬叶锋,程邦君,等.加速康复外科在胃肠外科围手术期应用进展[J].中国普通外科杂志,2013,22(4):498-501.
[4]郑秋霞,彭根英,张宁,等.品管圈管理对降低ICU呼吸机相关性肺炎的效果[J].中国消毒学杂志,2014,31(5):522-523.
[5]许晨耘,柯雅娟,陈茹妹,等.品管圈活动在手术病理标本安全管理中的应用[J].中国护理管理,2012,12(1):20-23.
[6]章飞雪,于燕燕,徐枝楼,等.品管圈活动在精神科老年病房基础护理质量管理中的作用[J].中华护理杂志,2013,48(2):127-130.
[7]胡维书,吴琦,骆飞源,等.应用品管圈降低气管插管患者非计划性拔管率效果分析[J].重庆医学,2014,43(16):2106-2107.
[8]邱泽成.损伤控制性外科理念在胃肠外科的应用[J].中国实用医药,2014,9(3):88-88.
[9]张小霓,张丽虹,林财珠,等.不同全麻维持方式对胃肠外科手术患者苏醒期躁动的影响[J].郑州大学学报:医学版,2012,47(2):262-264.
[10]沈国美,夏琴,代后珍,等.品管圈活动在降低医务人员职业暴露发生率中的应用效果观察[J].护士进修杂志,2015,(2):119-122.