品管圈活动对提高头颈肿瘤患者人工气道舒适度的效果  

Application of quality control circle on the improvement of artificial airway comfort for patients with head and neck tumors

作　　者：黄静[1] 蔡树萍[1] 胡建丹 章新亚[1] 王婷[1] 

机构地区：[1]浙江省肿瘤医院头颈外科,杭州310012

出　　处：《中华现代护理杂志》2015年第2期157-160,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨品管圈（ QCC ）活动在提高头颈肿瘤患者人工气道舒适度的应用效果。方法成立品管圈小组，通过品管圈活动分析影响人工气道舒适及气道排痰有效性的原因，并采取有效气道湿化、适时吸痰、舒适体位和促进睡眠等方法，将改进前后患者舒适状况进行比较。结果实施QCC活动后，人工气道患者的有效排痰、气道温湿度、吸痰、睡眠状况均得到改善（ t值分别为－4．278，－27．531，－18．860，－18．212；P＜0．01）；舒适度由39．40％提高至81．32％。品管圈活动目标达标率为120．91％，进步率为123．16％，最终形成护理操作标准化，建立人工气道护理质量标准及气管切开患者舒适护理常规，设计了一体化气切护理车。活动后，圈员的工作热情、个人表达能力、创造性思维、责任与荣誉、QCC手法运用及团队精神均有提高。结论运用品管圈对人工气道舒适管理，不仅提高了专科护理质量，还进行发明创造，为医院创造了经济效益及社会效益。Objective To explore the application effect of quality control cycle （ QCC ） on the improvement of artificial airway comfort.Methods The QCC was established, and then followed the steps of QCC to analyze man-made reasons and effective airway expectoration reasons.The patients′comfort improved by enhancing airway humidification, timely sputum suction, comfortable position and sleep, then we compared the level of comfort before and after treatment.Results The effective expectoration, airway humidification sputum suction, sleep quality significantly improve （t=-4.278,-27.531,-18.860,-18.212,respectively; P〈0.01）, and the comfort level increased 39.40%to 81.32%.The attainment rate of objective 120.91%, and the rate of progress 123.16%.Finally, the standardization of nursing procedure had been established, and we set up the nursing quality standard of artificial airway, nursing routine for patients with tracheostomy, and designed integrative tracheostomy nursing cart. Besides, the member of QCC were facilitated their work enthusiasm, personal expression ability, creativity, responsibility and sense of honor.Conclusions The use of QCC on artificial airway management improved the quality of specific nursing, also conducted inventions, and contributes to hospital and society economy.

关 键 词：人工气道 舒适度 品管圈活动 质量管理 

分 类 号：R473.73[医药卫生—护理学]