降低喉癌手术患者快速康复不良因素发生率的品管圈实践  

Application of quality control circle activities in reducing the incidence of adverse factors for rapid recovery in patients with surgical treatment for laryngeal cancer

作　　者：冯嘉丽 王嘉敏 邓秋容[1] 许薇[1] FENG Jiali;WANG Jiamin;DENG Xiurong;XU Wei(Department of Otolaryngology,The First Affiliated Hospital Sun Yat-Sen University,Guangzhou,Guangdong,510030)

机构地区：[1]中山大学附属第一医院耳鼻咽喉科,广东广州510030

出　　处：《中西医结合护理》2022年第10期171-177,共7页Chinese Journal of Integrative Nursing

摘　　要：目的探究品管圈活动降低喉癌患者快速康复不良因素发生率的效果。方法采用便利抽样法选取2020年12月21日—2021年3月21日医院收治的喉癌住院患者35例为对照组,2021年6月1日—2021年8月31日收治的喉癌患者28例为观察组。医护一体成立品管圈活动小组,从临床实际出发,通过品管圈方法查找、分析并改进影响喉癌患者快速康复的不良因素,并进行效果分析。结果对照组和观察组总检频次分别为225例次和224例次。影响喉癌患者快速康复不良因素发生率改善前为46.67%(105/225),改善后为11.61%(26/224),目标达成率126.56%。观察组住院时间较对照组缩短,住院费用较对照组降低,差异有统计学意义(P<0.05)。结论品管圈活动有效降低了喉癌患者快速康复不良因素发生率,促进医护合作,优化临床路径,提高医疗护理质量,缩短住院时间,降低医疗费用。Objective To investigate the value of quality control circle(QCC)activities in re⁃ducing the incidence of adverse factors for rapid recovery after surgical treatment for laryngeal can⁃cer.Methods A convenient sample of 35 patients with surgical treatment for laryngeal cancer were selected as the control group,another 28 patients were recruited as the observation group.The quality control circle(QCC)activity group was set up by the medical and nursing integration.Based on the clinical practice,the adverse factors affecting the rapid recovery of laryngeal cancer patients were found,analyzed and improved through the QCC activities,and the effect analysis was carried out.Results Quality evaluation had been taken 225 times in the control group and 224 times in the observation group,respectively.The incidence of adverse factors affecting the rapid recovery of patients with laryngeal cancer decreased from 46.67%(105/225)to 11.61%(26/224),with a target achievement ratio of 126.56%.Shorter length of hospital stay and lower cost of hospitalization were found in the observation group than those in the control group(P<0.05).Conclusion The QCC activity an effective management tool for reducing the incidence of ad⁃verse factors in rapid recovery of laryngeal cancer patients,promoting medical and nursing cooper⁃ation,optimizing clinical pathways,improving the quality of medical care,shortening the length of hospitalization and reducing medical costs.

关 键 词：品管圈 喉癌 加速康复外科 康复护理 

分 类 号：R473.6[医药卫生—护理学]