品管圈管理对慢性乙型肝炎患者随访效果的影响  

Influences of follow-up effection to patients with chronic hepatitis B virus infection

作　　者：白娜[1] 

机构地区：[1]湖北省十堰市太和医院(湖北医药学院附属医院)感染科,十堰市442000

出　　处：《中华实验和临床感染病杂志（电子版）》2016年第3期367-370,共4页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

摘　　要：目的探讨品管圈管理对慢性乙型肝炎患者随访效果的影响。方法选取2014年1月至2015年1月于本院就诊的200例慢性乙型肝炎患者按照随机数表法随机分为试验组和对照组各100例,对照组患者进行常规的健康管理模式,试验组在常规健康管理模式基础上实施品管圈管理模式。结果试验组患者对预防知识、传播途径、消毒知识和隔离方法知识的掌握例数为分别84、89、82和92例,对照组对于以上知识掌握的例数分别为62、71、79和77例,差异具有统计学意义（χ^2 =12.278、10.125、0.287、8.589,P=0.000、0.001、0.592、0.003）。经过品管圈管理后试验组患者在1个月、2个月和3-6个月复诊的例数分别为85、78和69例,对照组患者复诊的例数分别为68、58和43例,两组患者各阶段的复诊例数差异均具有统计学意义（χ^2 =8.038、9.191、13.718,P=0.005、0.002、0.000）。试验组患者的复诊率为90.231%,对照组患者的复诊率为53.221%,差异具有显著统计学意义。结论品管圈管理对于慢性乙型肝炎随访效果具有积极的影响。Objective To investigate the follow-up affection of quality control circle management in patients with chronic hepatitis B virus（HBV） infection. Methods Total of 200 patients in our hospital from January 2014 to January 2015 with chronic HBV infection were divided into the experimental group and control group, each with 100 cases. The control group were treated with routine health management, while experimental group were treated with quality control circle management on the base of routine health management. Results Patients who grasped the knowledge of prevention, spread, disinfection and isolation in the experinment group were 84, 89, 82 and 92 cases; and the number of control group were 62, 71, 79 and 77 cases, with significant differences（χ^2 = 12.278, 10.125, 0.287 and 8.589; P = 0.000, 0.001, 0.592 and 0.003）. After the quality control circle management, patients in the experiment group who attended the clinic to review in 1 month, 2 months and 3-6 months were 85, 78 and 69 cases, while in control group were 68, 58 and 43 cases, with significant differences（χ^2 = 8.038, 9.191 and 13.718; P = 0.005, 0.002 and 0.000）. The further consultation rate in the experinment group was 90.231% and of 53.221% in the control group, with significant differences. Conclusions Quality control circle management had great follow-up effects to patients with chronic HBV infection.

关 键 词：品管圈管理 肝炎病毒 乙型 慢性 生存质量 

分 类 号：R473.5[医药卫生—护理学]