品管圈活动在提高ICU胸部肿瘤患者术后有效咳痰中的应用  

Application of QCC activities in improving effective expectoration of chest cancer patients in ICU after operation

作　　者：孙雪梅[1] 郭玉洁[1] 张芳[1] 吕唯琳 郭硕[1] 张连池 

机构地区：[1]山东省肿瘤医院,山东济南250117

出　　处：《齐鲁护理杂志》2015年第16期20-22,共3页Journal of Qilu Nursing

摘　　要：目的:探讨品管圈活动在提高胸部肿瘤术后入住重症监护室(ICU)患者有效咳痰中的应用价值。方法:我院ICU于2014年2月14日成立品管圈小组,以提高胸部肿瘤术后患者有效咳痰为活动主题,根据病区现状进行调查及随访,总结分析影响咳痰的原因;通过PDCA循环法探讨质量改进方法有效性,对比分析改进措施实施前后患者有效咳痰情况。结果:患者有效咳痰的原因有切口疼痛、痰液黏稠不易咳出、未掌握有效咳嗽咳痰方法、护士宣教不到位四个方面;通过实施品管圈活动后,患者咳痰有效率提高了19.37%,明显优于实施前(P<0.05)。结论:实施品管圈活动可促进胸部肿瘤患者术后有效咳嗽、咳痰,促进患者康复。Objective：To investigate the application effect of quality control circle （Qcc） activities in improving effective expectoration of chest cancer patients in ICU after operation. Methods：The QCC team of ICU was set up on 14 February 2014 in our hospital and they fo- cused on improving effective expectoration of chest cancer patients after operation. The team studied the effectiveness of the activities through the PDCA circulation method and compared the improvement of effective expectoration of the patients before and after the improve- ment of the activities. Results：The factors to affect the effective expectoration were incision pain,thick sputum, incorrect expectoration method-and inadequate health education to the patients. The effective rate of expectoration increased 19. 37% after the implementation of Qcc activities and significantly better than that before the implementation of QCC activities （ P 〈 0.05 ）. Conclusion ： Implementation of QCC activities can improve the effective expectoration of chest cancer patients after operation and promote their rehabilitation.

关 键 词：品管圈活动 胸部肿瘤 ICU 咳嗽 咳痰 

分 类 号：R197.32[医药卫生—卫生事业管理]