品管圈在提高永久起搏器植入术后患者早期功能锻炼执行率中的应用  

Application of quality control circle in improving the implementation rate of early functional exercise in patients after permanent pacemaker implantation

作　　者：周佳莉[1] 梁景煜[1] 王念[1] ZHOU Jiali;LIANG Jingyu;WANG Nian(Department of Cardiology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China)

机构地区：[1]武汉大学人民医院心血管内科

出　　处：《中国医药导报》2019年第17期148-151,159,共5页China Medical Herald

摘　　要：目的探讨品管圈管理模式在提高永久起搏器植入术患者早期功能锻炼中效果的作用。方法收集2015年5月~2016年5月在武汉大学人民医院心血管内科进行永久起搏器植入的患者62例;其中2015年5月1日~2015年8月31日行永久起搏器植入术的患者作为对照组,共26例,给予常规围术期护理措施;2015年9月1日~2016年4月30日行永久起搏器植入术的患者为实验组,共36例,进入品管圈。采用自制调查问卷对护士进行考核,比较品管圈实施前后护士对起搏器相关知识的知晓率;比较两组起搏器植入术后患者早期功能锻炼的执行率。结果实施品管圈活动后,护士对永久起搏器植入术后病人护理的相关知识掌握率由68.75%增加至100.00%(P < 0.05),尤其是对术后早期功能锻炼的方式有较全面的了解;患者术后早期功能锻炼执行率由61.54%升至91.43%(P < 0.01)。结论实施品管圈能有效提高永久起搏器植入术后患者早期功能锻炼的执行率,加快患者的康复,减少术后并发症,且能有效提升护理人员的专业素养。Objective To investigate the role of quality control circle management mode in improving the effect of early functional exercise of patients with permanent pacemaker implantation. Methods A total of 62 patients who underwent permanent pacemaker implantation in the Department of Cardiovascular Medicine, Renmin Hospital of Wuhan University from May 2015 to May 2016 were collected. Among them, patients receiving permanent pacemaker implantation from May 1, 2015 to August 31, 2015 were the control group, a total of 26 cases, who were given routine perioperative nursing measures. The patients who received permanent pacemaker implantation from January 1, 2015 to April 30, 2016 were the experimental group, a total of 36 patients were admitted into the quality control circle. The self-made questionnaire was used to evaluate the nurses, and the awareness rate of the nurses about the pacemaker before and after the implementation of QCC was compared. The implementation rates of early functional exercise after pacemaker implantation were compared between the two groups. Results After the implementation of QCC activities, the rate of nurses′ knowledge of patient care after permanent pacemaker implantation increased from 68.75% to 100.00%(P < 0.05). Especially, got a comprehensive understanding of the ways of early functional exercise after operation. The implementation rate of early functional exercise increased from 61.54% to 91.43%(P < 0.01). Conclusion The implementation of quality control circle can effectively improve the implementation rate of early functional exercise of patients after permanent pacemaker implantation, accelerate the recovery of patients, reduce postoperative complications, and effectively improve the professional quality of nursing staff.

关 键 词：品管圈 永久起搏器植入 早期功能锻炼 

分 类 号：R473.5[医药卫生—护理学]