品质管理圈活动对人工气道管理质量的影响  

The impact of quality management circle activities on the quality of artificial airway management

作　　者：马艳艳[1] 李小杰 孟晓利 李芳[2] Ma Yanyan;Li Xiaojie;Meng Xiaoli;Li Fang(Department of Critical Care,the Second People's Hospital of Lianyungang City,222000,China;Department of Thoracic/Spinal Surgery,the Second People's Hospital of Lianyungang City,222000,China)

机构地区：[1]连云港市第二人民医院重症医学科,222000 [2]连云港市第二人民医院胸外科/脊柱外科,222000

出　　处：《国际护理学杂志》2021年第17期3073-3077,共5页international journal of nursing

摘　　要：目的探讨品质管理圈活动对提高人工气道管理质量的影响。方法选取2017年2月至2019年5月在连云港市第二人民医院行人工气道治疗的100例患者,根据患者入院时间,将其分为常规组及研究组,各50例。对常规组患者实施常规护理,对研究组患者实施品质管理圈活动干预。比较两组患者治疗期间不良反应发生率、意外脱管情况、每日吸痰次数、湿化效果及干预前后生活质量。结果患者在治疗期间主要出现的不良反应包括呛咳、痰痂形成、肺部感染及黏膜出血,且研究组患者发生率均显著优于常规组,差异有统计学意义(P<0.05)。研究组患者意外脱管发生率为4.00%,每日吸痰次数为(3.22±1.08)次,显著优于常规组;同时,研究组患者湿化满意率为96.00%,显著优于常规组的56.00%;另外,干预后研究组患者生活质量评分为(80.26±4.23)分,显著优于常规组的(60.61±5.28)分,且其各维度评分也均显著优于常规组及干预前,差异均有统计学意义(均P<0.05)。结论对人工气道治疗患者采取品质管理圈活动干预,能够有效降低患者发生不良反应概率,且该模式对提高湿化效果具有重要意义。Objective To explore the influence of quality management circle activities on improving the quality of artificial airway management.Methods A total of 100 patients who received artificial airway treatment in the hospital from February 2017 to May 2019 were selected and divided into the routine group and the study group according to the time of admission,with 50 cases in each group.The routine nursing was carried out for the patients in the routine group,and the quality management circle intervention was carried out for the patients in the study group.The incidence of adverse reactions,accidental tubings,daily sputum aspiration times,humidification effect and quality of life before and after intervention were compared between two groups.Results The main adverse reactions during treatment included coughing,sputum scab formation,pulmonary infection and mucosal bleeding,and the incidence of patients in the study group was significantly higher than that in the routine group,the difference was statistically significant(P<0.05).The incidence of accidental tubation in the study group was 4.00%,and the number of sputum aspiration was(3.22±1.08)times per day,which was significantly better than that in the routine group.Meanwhile,the humidification satisfaction rate of patients in the study group was 96.00%,which was significantly better than that of the routine group(56.00%).In addition,after intervention,the quality of life score of patients in the study group was(80.26±4.23),significantly better than that in the routine group(60.61±5.28),and the scores of all dimensions were also significantly better than that in the routine group and before intervention,the differences were statistically significant(P<0.05).Conclusions Quality management circle intervention can effectively reduce the probability of adverse reactions in patients treated with artificial airway,and this mode is of great significance to improve the humidification effect.

关 键 词：品质管理圈 人工气道管理 不良反应 湿化效果 

分 类 号：R47[医药卫生—护理学]