品管圈在提升低于3岁住院患儿雾化吸入依从率中的应用  

Quality control circle practice in improving atomization inhalation compliance ratein hospitalized children under 3 years old

作　　者：孔瑞芳[1] 施倩 毕慧云[1] 刘琳琳[1] 赵冉 KONG Ruifang;SHI Qian;BI Huiyun;LIU Linlin;ZHAO Ran(Jining First People′s Hospital,Jining 272011,China;Department of Clinical Nursing,Jining Health Technician School,Jining 272000,China)

机构地区：[1]济宁市第一人民医院儿科,济宁272011 [2]济宁市卫生学校临床护理教研室,济宁272000

出　　处：《济宁医学院学报》2024年第5期411-414,共4页Journal of Jining Medical University

摘　　要：目的探讨品管圈(Quality Control Circle,QCC)管理方法在提高住院患儿雾化吸入依从率的应用价值。方法济宁市第一人民医院儿科雾化吸入QCC管理实施时间自2020年6月开始,选取QCC实施前(2020年4月至2020年5月)0~3岁住院进行雾化吸入治疗的患儿454人以及QCC实施后(2020年11月至12月)0~3岁住院进行雾化吸入治疗的患儿496人进行研究,比较两组住院患儿在雾化吸入治疗中的哭闹发生率、按时雾化率、家属拒绝情况、雾化中断情况,以及总体雾化依从率。结果在QCC实施后,0~3岁住院患儿雾化吸入哭闹发生率下降(23.33%vs 5.04%)、未按时雾化率下降(16.08%vs 2.82%),总体雾化依从率提升(56.00%vs 88.90%),差异有统计学意义(P<0.001);QCC实施后患儿家属满意度评分提升(t=5.95,P<0.001)。结论实施QCC能够提升低于3岁住院患儿雾化吸入依从率,提升患者家属满意度。Objective To investigate the application value of Quality Control Circle(QCC)management method in improving the compliance rate of hospitalized children with atomization inhalation.Methods The administration of pediatric aerosol inhalation QCC in Jining First People′s Hospital started from June 2020.A total of 454 children aged 0~3 years who were hospitalized for aerosol inhalation before the implementation of QCC(April 2020 to May 2020)and 496 children aged 0~3 years who were hospitalized for aerosol inhalation after the implementation of QCC(November 2020 to December 2020)were selected for this study.The incidence of crying,timely atomization rate,family members′refusal,atomization interruption,and the overall atomization compliance rate of hospitalized children in the two groups were compared.Results After the implementation of QCC,the incidence of inhalation crying in hospitalized children aged 0-3 years decreased(23.33%vs 5.04%),the rate of off-schedule atomization decreases(16.08%vs 2.82%),and the overall atomization compliance rate increased(56.0%vs 88.9%),with statistically significant differences(P<0.001).The satisfaction scores of family members of children with QCC were improved after implementation(t=5.95,P<0.001).Conclusion QCC can improve the atomization inhalation compliance rate of hospitalized children under 3 years old,and improve patient satisfaction.

关 键 词：品管圈 雾化吸入 依从率 

分 类 号：R725.6[医药卫生—儿科]