品管圈活动降低肌注黄体酮致臀部硬结发生率的观察效果  

Application of quality control circle in reducing hip induration induced by injection of progesterone

作　　者：高红娟[1] 张建红[1] 

机构地区：[1]江苏省南通市妇幼保健院妇科二病区,226018

出　　处：《中华现代护理杂志》2016年第17期2450-2453,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨品管圈活动在降低肌注黄体酮致臀部硬结发生中的应用效果。方法2014年7月由10名护理人员组成品管圈小组，开展以“降低肌注黄体酮致臀部硬结发生率”为主题的品管圈活动，分析臀部硬结形成的相关因素，进行现状把握、解析、对策拟定、实施与检讨等流程。比较开展品管圈活动前后臀部硬结发生率及圈员的活动能力。结果臀部硬结发生率由品管圈活动前的16．5％降为活动后的5．5％，差异有统计学意义（χ2＝14．12，P ＜0．05）。圈员的 QCC 手法、质量意识、团队精神、协调沟通等6项内容得分高于活动前分值，差异有统计学意义（t 值分别为－4．02，－3．73，－4．10，－3．91，－4．51，－3．49；P ＜0．05）。结论开展品管圈活动不仅降低了肌注黄体酮致臀部硬结的发生，减少了操作并发症，还激发了圈员的潜能，提高了质量管理能力，值得在临床积极推广。Objective To evaluate application effects of quality control circle （QCC）in reducing hip indurations induced by injection of progesterone.Methods In July 2014,a QCC activity,with the theme of“Reducing hip indurations induced by injection of progesterone”,was conducted by the QCC group consisted of 10 nurses.Related factors of hip indurations formation were analyzed for the procedures such as status quo comprehension and analysis, countermeasure formulation and implementation, and finally evaluation. Occurrence rate of hip indurations and capability of circle members before and after the QCC activity were compared.Results Incidence of hip indurations fell from 16.5% before to 5.5% after the QCC activity （χ2 =14.12,P 〈0.05）.Six items including QCC technique,quality consciousness,team spirits,cooperation and communication of the member nurses scored higher than the ones before the activity （t =-4.02, -3.73,-4.10,-3.91,-4.51,-3.49;P 〈0.05）.Conclusions Application of QCC can reduce incidence of hip indurations induced by injection of progesterone,decrease operation complications,inspire potential and enhance capability of quality management among the member nurses,which makes it worthies to promote in clinic.

关 键 词：品管圈活动 黄体酮 臀部硬结 

分 类 号：R473.71[医药卫生—护理学]