品管圈活动在缩短内镜下治疗胃肠息肉患者平均住院日中的应用  

Applicability of quality control circle in shortening the average hospital stay among patients with gastrointestinal polyps under endoscopy

作　　者：王聪 张佩 焦娟莉 康彦霞 WANG Cong;ZHANG Pei;JIAO Juanli;KANG Yanxia(Department of Gastroenterology,The Second Affiliated Hospital of Air Force Medical University,Xi'an 710000,China)

机构地区：[1]空军军医大学第二附属医院消化内科,西安710000

出　　处：《空军医学杂志》2022年第2期154-157,共4页Medical Journal of Air Force

基　　金：唐都医院学科创新发展计划项目(2021LCYJ032)。

摘　　要：目的探讨品管圈活动在缩短胃肠内镜下治疗息肉患者平均住院日中的应用效果。方法选择2019年4—5月内镜下胃肠息肉治疗患者176例,调查患者最长住院天数、最短住院天数和住院人数最多的天数;建立品圈管活动小组,确定活动主题为缩短胃肠内镜下息肉治疗患者平均住院日;选择2019年11—12月内镜下胃肠息肉治疗的176例患者的最长住院天数、最短住院天数和住院人数最多天数,比较品圈管活动实施前后患者平均住院日的变化。结果品管圈活动实施前,176例胃肠内镜下治疗胃肠息肉患者累计住院天数为1212 d,平均住院日为(6.89±0.97)d;活动实施后,176例患者累计住院天数为549 d,平均住院日为(3.12±0.61)d;品管圈活动实施前后患者平均住院日比较,差异有统计学意义(t=25.44,P=0.00)。影响住院日因素改善后,目标达成率为92.40%,进步率为54.72%。品管圈活动开展后,圈员解决问题的能力、沟通协调能力、品管手法、工作积极性等都得到了提升,其中品管手法提升最为明显。结论品管圈活动能有效缩短胃肠内镜下治疗胃肠息肉患者的平均住院日,并可以提高护士综合素质。Objective To explore the applicability of the quality control circle(QCC)in shortening the average hospital stay among patients with polyps treated under gastrointestinal endoscopy.Methods One hundred and seventy-six patients with gastrointestinal polypstreated endoscopically between April and May 2019 were selected.The longest hospital stay,shortest hospital stay,and the day with the largest number of hospitalizations were investigated.A QCC team was set up that was intended to improve strategies to shorten the average hospital stay for such patients.After the implementation of the QCC,the longest and shortest hospital stay,and the day with the largest number of hospitalizations were statistically analyzed among another 176 patients with gastrointestinal polypstreated endoscopically from November to December 2019.The changes in the length of hospital stay were recorded.Results Before the implementation of the QCC,the cumulative length of hospital stay among the first batch of 176 patients was1212 days,and the average hospital stay was(6.89±0.97)days,compared with 549 days and(3.12±0.61)days after the implementation.There was statistically significant difference in the average hospital stay before and after the activity(t=25.44,P=0.00).After the determinants of the length of hospitalization were improved,the rate of goal achievement was 92.40%,and the rate of improvement was 54.72%.Members of the team improved their abilities to solve problems,communicate and to coordinate,with better quality control methods and work enthusiasm.Conclusion The quality control circle activities can shorten the average hospital stay of patients withgastrointestinal polyps treated under endoscopy,and effectively improve the overall quality of nurses.

关 键 词：品管圈 胃肠内镜 平均住院日 

分 类 号：R392.115[医药卫生—免疫学]