品管圈活动对骨科无菌手术切口感染情况及医护人员综合素质的影响  

Influence of QCC on the infection of orthopedic aseptic operation and healthcare workers in the operating room

作　　者：叶明春[1] 税悦 邓远平[2] 

机构地区：[1]宜宾市第一人民医院手术室,四川宜宾644000 [2]宜宾市第一人民医院骨科,四川宜宾644000

出　　处：《局解手术学杂志》2015年第6期609-612,共4页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨品管圈活动(QCC)对骨科无菌手术切口感染率及医护人员综合素质的影响。方法将2015年1月至2015年6月开展QCC活动以来手术室骨科无菌手术患者170例作为QCC活动组,再选取2014年6月至2014年12月开展QCC活动前的患者164例作为对照组,并对2组患者的切口感染率、WBC升高率、体温升高率及医护人员的责任心、主动性、解决问题的能力、自信心、和谐度、凝聚力进行比较。结果 QCC活动组切口感染率(0.6%)、WBC升高率(2.4%)及体温升高率(1.2%)较对照组(5.5%,9.1%,6.7%)显著降低(P<0.05),而医护人员的责任心评分(4.6±0.6)分、主动性评分(4.4±0.3)分、解决问题的能力评分(4.1±0.8)分、自信心评分(4.3±0.7)分、和谐度评分(4.8±0.9)分、凝聚力评分(4.2±0.4)分较对照组的(2.9±0.7)分,(2.3±0.5)分,(2.5±0.5)分,(2.8±0.6)分,(3.1±0.4)分及(1.8±0.3)分显著提高(P<0.01)。结论 QCC能够有效降低手术室骨科无菌手术切口感染率,并显著提升医护人员的综合素质。Objective To explore the influence of QCC on the infection of orthopedic aseptic operation and heahhcare workers in the operating room. Methods A total of 170 patients undergoing orthopedic aseptic operation from January 2015 to June 2015 were chosen as QCC group and 164 patients from June 2014 to December 2014 as control group. The wound infection rate,increased rate of WBC and temper- ature, the responsibility, initiative, problem solving skills, self-confidence, harmony, cohesion of doctors and nurses between two groups were recorded. Results The wound infection rate（2.4% ）, increased rate of WBC（2.4% ） and temperature（ 1.2% ） in Qcc group were signifi- cantly lower than those of control group （ 5.5 % ,9.1% , 6.7 % ）. Moreover, the responsibility （4.6 ± 0.6 ） point, initiative （4.4 ± 0.3 ） point, problem solving skills （ 4.1 ± 0.8 ） point, self-confidence （ 4.3 ± 0.7 ） point, harmony （ 4.8 ± 0.9 ） point and cohesion （ 4.2 ± 0.4 ） point of doctors and nurses in QCC group were significantly higher than those of control group [ （ 2.9 ±0.7 ） point, （ 2.3 ± 0.5 ） point, （ 2.5 ± 0.5 ） point, （2.8± 0.6） point, （ 3.1 ±0.4） point, （ 1.8 ± 0.3 ） point, respectively） ]. Conclusion QCC could effectively reduce the infection rate of orthopedic aseptic operation, and improve the overall quality of the participants health care workers in the operating room.

关 键 词：品管圈活动 骨科无菌手术 感染 医护人员 

分 类 号：R619.3[医药卫生—外科学] R613[医药卫生—临床医学]