QCC质控管理模式在脑梗死合并吞咽功能障碍留置胃管患者中的应用效果  

Application effect of QCC quality control management mode in patients with cerebral infarction complicated with swallowing dysfunction and indwelling gastric tube

作　　者：禹静 YU Jing(the 15th People's Hospital of Zhengzhou,Zhengzhou 450041,China)

机构地区：[1]郑州市第十五人民医院,河南郑州450041

出　　处：《临床医学研究与实践》2025年第6期178-181,共4页Clinical Research and Practice

摘　　要：目的 探究品管圈(QCC)质控管理模式在脑梗死合并吞咽功能障碍留置胃管患者中的应用效果。方法将2019年4月至2020年3月(QCC实施前)收治的203例脑梗死合并吞咽功能障碍患者作为对照组,2020年11月至2021年10月(QCC实施后)收治的196例脑梗死合并吞咽功能障碍患者作为观察组。对照组采用常规护理干预,观察组采用基于QCC质控管理模式的护理管理。比较两组的应用效果。结果 观察组的非计划性拔管发生率低于对照组,胃管插管时间短于对照组,胃管耗材费用低于对照组(P<0.05)。观察组的并发症总发生率为3.57%,低于对照组的11.33%,差异具有统计学意义(P<0.05)。雷达图显示,培训后,圈员的责任心、积极性、自信心、解决问题能力、团队凝聚力、沟通协调能力、幸福感及管理手法与培训前相比均得到显著提升。结论 在脑梗死合并吞咽功能障碍患者留置胃管治疗期间建立QCC质控管理模式,能够整体提升护理质量,明显降低非计划性拔管发生率,有利于改善患者的预后。Objective To explore the application effect of quality control management mode of quality control circle(QCC)in patients with cerebral infarction complicated with swallowing dysfunction and indwelling gastric tube.Methods A total of 203 patients with cerebral infarction complicated with swallowing dysfunction admitted from April 2019 to March 2020(before the implementation of QCC)were selected as the control group,and 196 patients with cerebral infarction complicated with swallowing dysfunction admitted from November 2020 to October 2021(after the implementation of QCC)1 were selected as the observation group.The control group was given routine nursing intervention,and the observation group was given nursing management based on QCC quality control management mode.The application effects of the two groups were compared.Results The incidence of unplanned extubation in the observation group was lower than that in the control group,the time of gastric tube intubation was shorter than that in the control group,and the cost of gastric tube consumables was lower than that in the control group(P<0.05).The total incidence of complications in the observation group was 3.57%,which was lower than 11.33%in the control group,and the difference was statistically significant(P<0.05).The radar chart shows that after the training,the responsibility,enthusiasm,self-confidence,problem-solving ability,team cohesion,communication and coordination ability,happiness and management skills of the circle members have been significantly improved compared with those before the training.Conclusion The establishment of QCC quality control management mode during the treatment of indwelling gastric tube in patients with cerebral infarction complicated with swallowing dysfunction can improve the quality of nursing as a whole,significantly reduce the incidence of unplanned extubation,and improve the prognosis of patients.

关 键 词：脑梗死 吞咽功能障碍 留置胃管 品管圈 

分 类 号：R473[医药卫生—护理学]