FOCUS-PDCA程序在13C-尿素呼气试验质量管理中的实践  

The FOCUS-PDCA procedure could improve the quality of 13C urea breath test among physical examination population

作　　者：李艳红 刘宇英[1] 张海英 Li Yanhong;Liu Yuying;Zhang Haiying(State Key Laboratory of Oncology in South China,Collaborative Innovation Center for Cancer Medicine,Sun Yat-sen University Cancer Center,Guangzhou,510060,China)

机构地区：[1]中山大学肿瘤防治中心华南肿瘤学国家重点实验室肿瘤医学协同创新中心

出　　处：《现代临床护理》2019年第6期49-54,共6页Modern Clinical Nursing

基　　金：广东省医学科学技术研究基金项目，项目编号为A2019469

摘　　要：目的探讨FOCUS-PDCA程序在13C-尿素呼气试验质量管理中的效果。方法将2017年9月—2018年3月在本科室行13C尿素呼气试验的500名体检受试者设为对照组,采用传统的健康教育方法和常规护理措施;将2018年5月—11月在本科室行13C尿素呼气试验的500名体检受试者设为观察组,运用FOCUS-PDCA程序的发现、组织、澄清、理解、选择、计划、实施、检查和执行9个步骤分析影响13C-尿素呼气试验质量的原因,制订并实施改进措施。结果观察组有96.6%(483/500)完成13C尿素呼气试验,对照组有91.2%(456/500)完成试验;观察组按13C-尿素呼气试验要求进行禁食、禁水和禁烟依从性高于对照组;观察组气体采集时间的准确率高于对照组,两组比较,差异均有统计学意义(P<0.01)。结论运用FOCUS-PDCA程序可提高13C-尿素呼气试验管理质量,确保检查的顺利进行,对早发现和早治疗幽门螺杆菌(Helicobacter pylori,Hp)具有积极的意义。Objective To examine whether FOCUS-PDCA procedure could improve the quality of 13C urea breath test among physical examination population. Methods We selected 500 guests who accepted regular nursing service for 13C-urea breath test between September 2017 and March 2018 as control group. Another 500 guests who accepted FOCUS-PDCA nursing service for 13C-Urea Breath Test between May 2018 and November 2018 were selected as trial group. We used the FOCUS-PDCA based 9 procedures e.g.,find,organize,clarify,understand,select,plan,do,check,and act to analyze the reasons of 13C-urea breath test failure and make corresponding coping strategy to improve the successful rate. Results The successful rates of 13C urea breath test for the intervention group and control group were 96.6% and 91.2%,respectively. Compared with control group,the intervention group had significantly higher fasting rate and no smoking rate. The compliance rate of scheduled breathing for the intervention group was also higher than that of control group. Conclusion FOCUS-PDCA significantly the quality of 13C Urea Breath Test among physical examination population.

关 键 词：FOCUS-PDCA程序 持续质量改进 13C-尿素呼气试验 幽门螺杆菌 

分 类 号：R473.5[医药卫生—护理学]