品管圈在提高预防VAP集束化护理落实率中的应用  

Application of quality control circle activities in improving the implementation rate of preventive VAP cluster nursing

作　　者：陈鑫[1] 闵丽华[1] 蒋文春[1] 曾丽[1] 雷花[1] 虞瑰[1] 高建琼 孙艳华 黄欣欣 CHEN Xin;MIN Lihua;JIANG Wenchun;ZENG Li;LEI Hua;YU Gui;GAO Jianqiong;SUN Yanhua;HUANG Xinxin(Sichuan Academy of Medical Sciences,Sichuan Provincial People′s Hospital,Sichuan 610072 China)

机构地区：[1]四川省医学科学院·四川省人民医院

出　　处：《全科护理》2019年第36期4500-4504,共5页Chinese General Practice Nursing

基　　金：四川省卫生健康委员会科学研究项目,编号:16PJ499

摘　　要：[目的]探讨品管圈活动在提高预防呼吸机相关性肺炎(VAP)集束化护理落实率中的应用效果。[方法]由11人组成品管圈,分析预防VAP集束化护理落实率低的原因,制定相应对策并实施,评价改进措施实施后的效果。[结果]开展品管圈活动后,落实率由活动前65.63%提高到活动后81.99%,差异有统计学意义(P<0.000 1),进步率30.08%,目标达成率126.16%;VAP发生率由原来的4.60%下降为3.82%。[结论]推行品管圈活动后,预防VAP集束化护理措施落实情况得到明显改善,VAP发生率下降,同时提高了护士团队凝聚力和科研意识,有助于护理质量的持续改进。Objective:To explore the effect of quality control circle(QCC) activities in improving the implementation rate of cluster nursing for the prevention of ventilator-associated pneumonia(VAP). Methods: The QCC was composed of 11 persons. They analyzed the reasons for the low implementation rate of preventive VAP cluster nursing,formulated and implemented the corresponding countermeasures,and evaluated the effect of the improvement measures after implementation. Results:After the QCC activities,the implementation rate increased from 65.63% before the event to 81.99% after the event. The difference was statistically significant(P<0.000 1). The improvement rate was 30.08%,and the target achievement rate was 126.16%;the incidence of VAP decreased from 4.60% to 3.82%. Conclusions: The implementation of QCC activities could significantly improve the implementation of preventive VAP cluster nursing measures,decrease the incidence of VAP,and improve the cohesion and scientific research awareness of nurse teams,which was conducive to the continuous improvement of nursing quality.

关 键 词：呼吸机相关性肺炎 品管圈 持续改进 落实率 集束化 

分 类 号：R473.5[医药卫生—护理学]