品管圈在呼吸重症监护患儿护理安全中的应用  

Application value of quality control circle in nursing of children patients receiving intensive care therapy in department of respiratory diseases

作　　者：史玲艾[1] 安淑华[1] 崔佳[1] 董程程[1] 李坤芬[1] 冯爱芳[1] SHI Ling’ai;AN Shuhua;CUI Jia(Department of Respiratory Diseases,Children’s Hospital of Hebei Province,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北省儿童医院呼吸一科A区,石家庄市050031

出　　处：《河北医药》2018年第7期1113-1116,共4页Hebei Medical Journal

摘　　要：目的探讨品管圈护理管理在呼吸重症监护患儿护理安全中的应用效果,为临床实施有效的治疗措施提供可靠的理论依据。方法选取呼吸内科收治的80例患儿,按照随机数字法将所有患儿分成试验组和对照组,每组40例。对照组患儿采用常规护理管理,试验组患儿在常规护理基础上给予品管圈护理管理。对比2组患儿的不良反应发生率、患儿及家属满意度、患儿住院时间、机械通气时间,同时比较医务人员呼吸机相关肺炎(VAP)控制措施和手卫生依从等情况。结果除静脉炎外,试验组患儿呼吸机相关性肺炎和压疮等不良反应发生率均显著低于对照组(P<0.05),患儿及家属对护理人员在生活护理、健康教育、服务态度等满意度上也显著高于对照组(P<0.05),患儿的住院时间、机械通气时间明显短于对照组(P<0.05),医务人员VAP控制措施和手卫生依从情况也显著优于对照组(P<0.05)。结论品管圈护理在呼吸重症监护患儿护理安全中具有较好的临床效果,有助于预防不良反应的发生,提高护理满意度。Objective To explore the clinical effects of quality control circle(QCC)in nursing of children patients receiving intensive care therapy in order to provide reliable theory basis for effectively clinical therapeutic measures.Methods Eighty children patients who were admitted and treated in department of respiratory diseases in our hospital were divided into experimental group(n=40)and control group(n=40)according to random digital table.The patients in control group were treated by conventional nursing,however,the patients in experimental group,on the basis of control group,were treated by QCC nursing management.The incidence rates of adverse reactions,satisfaction degree of family members,hospital stay and mechanical ventilation time,the VAP controlling measure and hand hygiene compliance of medical staff were observed and compared between two groups.Results Except for that of phlebitis,the incidence rate including ventilator associated pneumonia and pressure sore in experimental group was significantly lower than that in control group(P<0.05),moreover,the satisfaction degrees of patients and family members for life care,health education and service attitude in experimental group were significantly lower than those in control group(P<0.05),However the hospital stay and mechanical ventilation time in experimental group were significantly shoter than those in control group(P<0.05),In addition the VAP controlling measure and hand hygiene compliance of medical staff in experimental group were superior to those in control group(P<0.05).Conclusion QCC nursing has better nursing effects in children patients receiving intensive care,which is beneficial to prevent incidence of advrse reactions and to improve nursing satisfaction degree.

关 键 词：品管圈 护理安全 手卫生依从性 呼吸重症监护 患儿 

分 类 号：R473.72[医药卫生—护理学]