品管圈对提高急性ST段抬高型心肌梗死患者院前救治品质的影响  

Effect of quality control circle on improving the quality of pre-hospital care in patients with ST-segment elevation myocardial infarction

作　　者：刘颖 王宝玉[1] Liu Ying;Wang Baoyu(Emergency Department, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450007, Chin)

机构地区：[1]郑州市中心医院急诊科,450007

出　　处：《中华现代护理杂志》2018年第7期829-832,共4页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划项目（201402041）

摘　　要：目的 运用品管圈（quality control circle,QCC）提高急性ST段抬高型心肌梗死患者院前救治品质.方法 2016年8月—2017年2月,郑州市中心医院开展以＂提高急性ST段抬高型心肌梗死患者院前救治品质＂为主题的QCC活动,调查影响79例急性ST段抬高型心肌梗死患者院前救治的因素,分析原因,制定并实施相应的对策.观察QCC活动后急性ST段抬高型心肌梗死患者绕行率及现场处置时间变化情况.结果 开展QCC活动后,院前急性ST段抬高型心肌梗死患者绕行率由活动前的58.2%提高至91.7%,现场处置时间由42.1 min缩短到29.3 min,差异均具有统计学意义（P〈0.05）.结论 QCC活动在提高急性ST段抬高型心肌梗死患者院前救治品质中效果显著,能够明显提高绕行率,极大缩短现场处置时间,同时提高QCC活动小组成员的综合素养.Objective To improve the quality of pre-hospital care in patients with ST-segment elevation myocardial infarction （STEMI） by quality control circle （QCC）. Methods From August 2016 to February 2017, the QCC activity on the theme of ＂improving the quality of pre-hospital care for patients with acute STEMI＂was carried out in Zhengzhou Central Hospital. The factors influencing the pre-hospital treatment of 79 patients with acute STEMI were investigated. In addition, the reasons were analyzed, so as to formulate and implement the corresponding countermeasures. The rate of bypass and the change of site disposal time in patients with acute STEMI were observed. Results After the QCC activity, the bypass rate of the pre-hospital patients with STEMI increased from 58.2% to 91.7%, and the site disposal time was shortened from 42.1 min to 29.3 min, and the differences were statistically significant （P〈0.05）. Conclusions QCC activity has an obvious effect on improving the quality of pre-hospital care in patients with STEMI, which significantly increases the bypass rate and greatly shortens the site disposal time. At the same time, it improves the comprehensive quality of QCC activity team members.

关 键 词：品管圈 急性ST段抬高型心肌梗死 直接经皮冠状动脉介入治疗 首次医疗接触 

分 类 号：R473.5[医药卫生—护理学]