开展品管圈术前肠造口定位的准确率  

Application of QCC in Improving the Accuracy of Marking the Preoperative Stoma Site

作　　者：周茹珍 厉坤鹏 陈静[3] 董金玲[1] 潘李丹 徐洪莲[1] 钱火红[4] 邱群[1] 

机构地区：[1]第二军医大学附属长海医院肛肠外科,上海200433 [2]上海市第二康复医院神经康复科,上海200431 [3]第二军医大学附属长海医院甲乳外科,上海200433 [4]第二军医大学附属长海医院护理部,上海200433

出　　处：《解放军医院管理杂志》2017年第8期763-766,共4页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的探讨品管圈活动在提高结直肠癌患者肠造口定位准确率中应用的临床效果。方法通过开展品管圈活动建立品管圈小组,在品管圈实施前对行肠造口术的255名患者术前造口定位不准确原因进行分析,制定相对应的措施,并对258名行肠造口术患者术前造口定位进行品管圈管理,比较品管圈实施前后术前造口定位准确率。结果通过开展品管圈活动,术前造口定位准确率由61.96%提高至94.57%,差异有显著统计学意义(P<0.05)。结论开展品管圈活动能够有效提高患者术前造口定位准确率及护理人员的综合能力和参与临床管理工作的积极性。Objective To investigate the clinical effects of QCC in improving the accuracy of preoperative stoma site marking in patients with colorectal cancer.Methods A QCC group was established by conducting QCC.Two hundred and fifty five colorectal cancer patients with a need of preoperative stoma site marking were surveyed to find out causes of failing stoma site marking and corresponding measures were developed.Two hundred and fifty eight patients undergoing stoma site marking were managed with QCC.The accuracy of preoperative stoma site marking was compared before and after the implementation of quality control circle.Results The accuracy rate of 61.96% of preoperative stoma site marking increased to 94.57% through conducting quality control circle and there was a statistically significant difference（P＆lt;0.05）.Conclusion The application of quality control circles can improve colorectal cancer patients undergoing preoperative stoma site marking, as well as the overall capacity of nurses and the active participation in clinical management.

关 键 词：品管圈 结直肠癌 肠造口 术前造口定位 

分 类 号：R197.32[医药卫生—卫生事业管理]