军队医院开展品管圈活动预防深静脉血栓的临床应用价值  

Clinical value of quality control circle activities in preventing deep vein thrombosis in military hospitals

作　　者：魏希乐 胡雪慧 宋汉歌 张美霞 程光 罗恒 王德盛 Wei Xile;Hu Xuehui;Song Hange;Zhang Meixia;Cheng Guang;Luo Heng;Wang Desheng(Department of General Surgery,The First Affiliated Hospital of Air Force Medical University,Xi’an 710032,China)

机构地区：[1]空军军医大学第一附属医院综合外科,陕西西安710032 [2]空军军医大学第一附属医院护理处,陕西西安710032 [3]空军军医大学第一附属医院神经外科一病区,陕西西安710032 [4]空军军医大学第一附属医院外科手术室,陕西西安710032

出　　处：《海军医学杂志》2025年第2期150-155,共6页Journal of Navy Medicine

基　　金：国家自然科学基金项目(81672341)。

摘　　要：目的探讨品管圈(QCC)活动对预防军队医院住院患者术后深静脉血栓(DVT)的临床效果。方法选取2021年1-12月在空军军医大学第一附属医院诊治的患者318例和医护人员40例,2021年1-6月实施常规治护模式(患者158例);2021年7-12月实施QCC活动治护模式(患者160例)。比较QCC活动前后医护人员、患者(或)家属的DVT预防认知情况、医护人员预防患者下肢DVT措施实施情况以及DVT发生情况。结果与QCC活动前比较,QCC活动后医护人员的DVT发病原因、临床表现、护理措施、预防措施评分升高(P<0.05)。QCC活动后患者DVT预防措施总落实率为94.14%,与QCC活动前(46.20%)比较升高(P<0.05)。QCC活动后DVT发生率为0.62%,与QCC活动前(5.06%)比较降低(P<0.05)。结论实施QCC活动可以提高军队医护人员、患者(或)家属的DVT预防认知能力,提高医护人员预防DVT措施的落实率,降低患者DVT发生率。Objective To explore the clinical effect of quality control circle(QCC)activities on the prevention of postoperative deep vein thrombosis(DVT)in inpatients in military hospitals.Methods A total of 318 patients who were diagnosed and treated in The First Affiliated Hospital of Air Force Medical University from January to December 2021 and 40 medical staff were enrolled in this study.Routine care was performed in 158 patients from January to June 2021,and QCC care was implemented in 160 patients from July to December 2021.The awareness of DVT prevention in medical staff and patients(or their famiy members)before and after QCC activities,lower limb DVT preventive measures taken by medical staff,and the occurrence of DVT were compared.Results The scores of the cause,clinical manifestations,nursing measures and preventive measures of DVT after QCC activities were significantly higher than those before QCC activities in both medical staff and patients(or their families)(P<0.05).The overall implementation rate of preventing lower limb DVT after QCC activities was significantly higher than that before QCC activities(94.14%vs.46.20%,P<0.05).The incidence of DVT after QCC activities was significantly lower than that before QCC activities(0.62%vs.5.06%,P<0.05).Conclusion Implementing QCC activities can improve the cognitive ability of military medical staff and patients(or family members)in DVT prevention,increase the implementation rate of DVT prevention measures,and reduce the incidence of DVT.

关 键 词：品管圈 深静脉血栓 围手术期 军队医院 

分 类 号：R473.82[医药卫生—护理学]