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品管圈活動降低老年住院患者靜脈留置針非計劃拔管率的效果分析

作者:未知

  【摘要】 目的 探討品管圈(QCC)活動對降低老年住院患者靜脈留置針非計劃拔管率的作用。
  方法 選取2017年3~5月收治的180例老年住院患者作為對照組, 另選取2017年7~9月收治的180例老年住院患者作為實驗組。對照組患者采取常規護理管理方法, 實驗組患者采用品管圈活動進行護理管理。比較兩組的有形成果(靜脈留置針非計劃拔管情況)、無形成果及標準化結果。結果 有形成果:實驗組患者的靜脈留置針非計劃拔管率為21.1%(38/180), 低于對照組的69.4%(125/180), 差異具有統計學意義(P<0.05)。無形成果:通過品管圈活動, 全體圈員對品管圈手法的運用、團隊精神、溝通協調能力及專業知識水平等方面均有不同程度的提升。標準化結果:訂制出標準的留置針操作流程, 統一實施, 并納入到工作者培訓內容當中。結論 開展品管圈活動可提高全體圈員的綜合素質、團隊合作能力, 降低老年住院患者靜脈留置針非計劃拔管率。
  【關鍵詞】 品管圈活動;靜脈留置針;非計劃性拔管;老年;住院患者
  DOI:10.14163/j.cnki.11-5547/r.2019.31.076
  Effect of quality control circle activity on reducing unplanned extubation rate of venous indwelling needle in elderly inpatients   LIU Xiao-ju, WEN Xin-yan, HUANG Zhi-hong, et al. Yuebei People’s Hospital, Shaoguan 512000, China
  【Abstract】 Objective   To discuss the effect of quality control circle (QCC) activity on reducing unplanned extubation rate of venous indwelling needle in elderly inpatients. Methods   There were 180 elderly inpatients from March to May 2017 were selected as control group, and 180 elderly inpatients from July to September 2017 were selected as experimental group. The control group received conventional nursing management, and the experimental group received quality control circle activities for nursing management. The formative results (unplanned extubation of venous indwelling needles status), intangible results and standardized results in two groups was compared. Results   Formative results: the unplanned extubation rate of venous indwelling needles was 21.1%(38/180) in the experimental group, which was lower than 69.4%(125/180) in the control group, and the difference was statistically significant (P<0.05). Intangible results: through quality control circle activities, all circle members have different degrees of improvement in the application of quality control circle techniques, team spirit, communication and coordination ability and professional knowledge level. Standardized results: the standard operation process of indwelling needle is customized, implemented uniformly and included in the training of workers. Conclusion   Implementation of quality control circle activities can improve the comprehensive quality and team cooperation ability of all the circle members, and reduce the unplanned extubation rate of venous indwelling needle in elderly inpatients.
  【Key words】 Quality control circle activity; Venous indwelling needle; Unplanned extubation; Elderly; Inpatients
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