品管圈对早产儿中性温度调控准确率及护护合作能力的影响
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摘要
目的探讨品管圈活动在提高早产儿中性温度调控准确率及NICU护士合作能力的效果。方法 2017年3月成立品管圈活动小组,确立以"提高调控早产儿中性温度个性化需求的准确率"为主题,品管圈活动前采用自行设计的早产儿中性温度调控现况调查问卷共查检早产儿300例次,针对查检结果不准确原因进行分析,确立改善重点,设定目标值,拟定对策并实施制定NICU早产儿中性温度个性化需求调控模式,通过对比品管圈活动前后早产儿中性温度调控准确率;及采用中文版护护合作量表(NNCS)对圈成员的合作能力对比进行效果评价。结果品管圈活动前后2组早产儿中性温度个性化需求调控准确率分别为65.3%、86.0%(P<0.05),活动后圈成员合作能力总分为(3.10±0.51)分高于品管圈活动前(2.91±0.53)分(P<0.05)。结论品管圈活动提高了NICU护士对早产儿中性温度个性化需求调控的准确率,同时提高了圈成员的合作能力。
Objective To explore the effect of quality control circle(QCC) activities on regulating the accuracy of neutral temperature for preterm infants and for improving nurses' cooperation competence in neonatal intensive care unit(NICU). Methods In March2017, a QCC group was set up focusing on improving the accuracy of neutral temperature regualtion for premature infants with individualized needs. Before the implementation of QCC activities, a self-designed neutral temperature reguatlion for premature infants questionnaire was used to check 300 premature infants and the reasons for the inaccuracy results were analyzed and the priorities of the improvement was idenfified. Countermeasures were formulated and implemented with target values. A mode of neutral temperature regualtion for premature infants with individualized demand in NICU was developed. We then compared the accuracy of neutral temperature regulation for preterm infants before and after QCC activities and assessed the cooperation competence of NICU nurses by using the Chinese version of the Nursing Cooperation Scale(NNCS).Results Before and after QCC activities, the accuracy of individualized neutral temperature regulation of preterm infants was 65.3% and 86.0% respectively(P<0.05) and the total score of nurses' cooperative competence was 2.91 ±0.53 and 3.10 ±0.51 respectively(P<0.05).Conclusion QCC activities are effetive for improving the accuracy of neutral temperature regulation for premature infants with individual demand and promoting cooperation competence of NICU nurses.
Objective To explore the effect of quality control circle(QCC) activities on regulating the accuracy of neutral temperature for preterm infants and for improving nurses' cooperation competence in neonatal intensive care unit(NICU). Methods In March2017, a QCC group was set up focusing on improving the accuracy of neutral temperature regualtion for premature infants with individualized needs. Before the implementation of QCC activities, a self-designed neutral temperature reguatlion for premature infants questionnaire was used to check 300 premature infants and the reasons for the inaccuracy results were analyzed and the priorities of the improvement was idenfified. Countermeasures were formulated and implemented with target values. A mode of neutral temperature regualtion for premature infants with individualized demand in NICU was developed. We then compared the accuracy of neutral temperature regulation for preterm infants before and after QCC activities and assessed the cooperation competence of NICU nurses by using the Chinese version of the Nursing Cooperation Scale(NNCS).Results Before and after QCC activities, the accuracy of individualized neutral temperature regulation of preterm infants was 65.3% and 86.0% respectively(P<0.05) and the total score of nurses' cooperative competence was 2.91 ±0.53 and 3.10 ±0.51 respectively(P<0.05).Conclusion QCC activities are effetive for improving the accuracy of neutral temperature regulation for premature infants with individual demand and promoting cooperation competence of NICU nurses.
引文
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[2]李杨,彭文涛,张欣.实用早产儿护理学[M].北京:人民卫生出版社,2015,72.
[3]李桂花,余勇妙,邵美仙,等.保鲜膜结合水床式鸟巢对机械通气下早产儿中性体温的影响[J].护理实践与研究,2014,11(11):79-80.DOI:10.3969/j.issn.1672-9676. 2014.11.044.
[4]张雪燕,李东梅,徐晓艳,等.运用医护一体品管圈提高泌尿外科医嘱护理级别与分级依据符合率[J].护理学报,2018,25(2):24-26.DOI:10.16460/j.issn1008-9969. 2018.02.024.
[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.DOI:10.12007/j.issn.0258-4646.2018.04.022.
[6] Wang L, Wang Y, Lou Y, et al. The Role of Quality Control Circles in Sustained Improvement of Medical Quality[J].Springerplus,2013,2(1):141.DOI:10.1186/2193-1801-2-141.
[7]贾晓彤.护护合作量表的跨文化调适及适用性研究[D].太原:山西医科大学,2014.
[8]石娟,宋瑰琦,宋永霞,等.护-护合作量表在我国护士中的普适性研究[J].中华疾病控制杂志,2016,20(5):508-511.DOI:10.16462/j.cnki.zhjbkz.2016.05.019.
[9]邓小燕,马嫣,段雪兰,等.提高脑卒中患者健康教育质量的品管圈实践[J].护理学报,2018, 25(7):70-74.DOI:10.16460/j.issn1008-9969.2018.07.070.
[10]李春香,王斌全,康凤英.品管圈的历史与发展现状分析[J].护理研究,2017,31(9):1140-1142.DOI:10.3969/j.issn.1009-6493.2017.09.038.
[11]季翠玲,傅巧美,陈璐.品管圈活动提高护士对脑卒中患者吞咽训练指导正确率的效果[J].解放军护理杂志,2018,35(11):45-48;72. DOI:10.3969/j.issn.1008-9993. 2018.11.012.