降低颈椎前路手术患者术后咽部不适发生率的品管圈实践  

Practice of quality control circle aimed to reduce the incidence of postoperative pharyngeal discomfort for patients with anterior cervical spine surgery

作　　者：黄月娇[1] 黄锐娜 李萌[1] 刘璐[1] 李秋青 吕玉玲 HUANG Yuejiao;HUANG Ruina;LI Meng;LIU Lu;LI Qiuqing;LV Yuling(Department of Spinal Surgery,the Eighth Affiliated Hospital of Sun Yat-sen University,Shenzhen,Guangdong 518033,China)

机构地区：[1]中山大学附属第八医院脊柱外科,深圳518033

出　　处：《中国骨科临床与基础研究杂志》2024年第3期189-195,共7页Chinese Journal of Orthopaedic Clinical and Basic Research

基　　金：中山大学附属第八医院护理科研项目资助(2024zdbyhlky013)。

摘　　要：目的 探讨品管圈活动在降低颈椎前路手术(ACSS)患者术后咽部不适发生率中的应用效果。方法 以2023年1~2月中山大学附属第八医院未开展品管圈活动的76例ACSS患者为对照组,2023年3月开展品管圈实践的76例ACSS患者为观察组,比较两组术后咽部不适发生率的差异。结果 对照组和观察组术后咽部不适发生率分别为63.16%和27.63%,观察组目标达成率为96.81%,改善幅度为56.25%;与对照组比较,观察组术后第一次下地时间和住院时间更短,平均住院费用更低(P <0.05)。圈员综合能力各维度评分均较品管圈活动前有所上升。结论 品管圈活动规范和优化ACSS围手术期管理制度和流程,提升护理人员的综合能力,有效降低ACSS术后咽部不适发生率,加速患者康复进程。Objective To explore the effect of quality control circle(QCC) on reducing the occurrence of pharyngeal discomfort after anterior cervical spine surgery(ACSS).Methods A total of 152 patients treated by ACSS in the Eighth Affiliated Hospital of Sun Yat-sen University were selected as study objects,in which patients underwent ACSS without implementing QCC from January to Februry 2023 were included into control group,and patients underwent ACSS procedure with QCC practice in March 2023 were included into observation group(each,76 patients).The difference of the incidence of pharyngeal discomfort after the surgery was compared between two groups.Results The incidence of pharyngeal discomfort after ACSS in the control group and the observation group was 63.16% and 27.63% respectively,with the target achievement rate was 96.81%,and the improvement rate was 56.25% in the observation group.First postoperative ambulation time and hospital stay in the observation group were shorter,and hospitalizaton cost was lower than those in the control group(P <0.05).Each dimension of scores of circle members' comprehensive capability all increased after QCC practice.Conclusion QCC activities could standardize the ACSS perioperative management regulations and process,and further enhance nurses' comprehensive ability,as a result,effectively reduce the incidence of patients' pharyngeal discomfort after ACSS and accelerate the rehabilitation process of the patients.

关 键 词：品管圈 颈椎前路手术 手术后并发症 咽部不适 围手术期护理 加速康复外科 

分 类 号：R473.6[医药卫生—护理学] R687.3[医药卫生—临床医学]