根因分析法联合品管圈管理对肠造口患者自护能力的影响  

Effect of root cause analysis combined with quality control circle management on self-care ability of patients with enterostomy

作　　者：王影[1] 任欢 李猛[1] 谢玲 林林[1] 房彦乐 WANG Ying;REN Huan;LI Meng(Department of Anorectal Surgery,the Second Hospital of Hebei Medical University,Hebei,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院肛肠外科,石家庄市050000

出　　处：《河北医药》2025年第3期509-512,共4页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(编号:20230027)。

摘　　要：目的通过开展品管圈活动,观察根因分析法联合品管圈管理对肠造口患者自护能力的影响。方法选取2022年1~6月河北医科大学第二医院肛肠外科的50例患者为对照组,采用常规护理方法护理。选取2022年7~12月就诊的50例患者为观察组,在常规护理的基础上联合根因分析法开展品管圈活动。对提高肠造口患者自护能力运用质量管理常用工具进行现状调查、原因分析、目标设定、制定对策并实施。使用自护能力实施量表调查患者的适应和自我护理能力,于出院时、出院1个月、出院3个月调查患者自护能力,比较2组患者不同时间段自护能力得分情况,并记录患者更换造口袋操作的分值,同时出院1个月后比较2组造口并发症的发生情况和护理满意度情况。结果在出院时、出院后1个月和3个月时,观察组自护能力得分及更换造口袋得分情况均高于对照组,差异有统计学意义(P<0.05)。出院1个月,观察组的造口并发症明显少于对照组,护理满意度观察组明显高于对照组,差异均有统计学意义(P<0.05)。结论根因分析法联合品管圈管理能显著改善肠造口患者的自护能力,更好地更换造口袋,使患者能够娴熟地更换造口袋,减少造口并发症的出现,提高患者的术后生活质量。Objective To observe the effect of root cause analysis combined with quality control circle management on self-care ability of patients with enterostomy by conducting quality control circle activities.Methods Fifty patients from the Department of Anorectal Surgery,the Second Hospital of Hebei Medical University from January 2022 to June 2022 were selected as the control group,and they were managed by the routine nursing.Fifty patients from July 2022 to December 2022 were assigned to the observation group,and managed by quality control circle activities plus routine care.The current situation,cause analysis,goal setting,formulation of countermeasures and implementation of improving the self-care ability of enterostomy patients using common quality management tools were conducted.the Self-Care Ability Scale was used to investigate the adaptation and self-care abilities at discharge,1 month and 3 months after discharge.The procedure to change ostomy bag was graded.The incidence of ostomy complications and nursing satisfaction of the two groups were compared at 1 month after discharge.Results At the time of discharge,1 month and 3 months after discharge,the scores of self-care ability and the score of changing the ostomy bag in the observation group were significantly higher than those of the control group(P<0.05).One month after discharge,the ostomy complications in the observation group were significantly less than those of the control group,and the nursing satisfaction in the observation group was significantly higher than that of the control group(P<0.05).Conclusion The combination of root cause analysis and quality control circle management can significantly improve the self-care ability of patients with enterostomy,enable patients to skillfully replace ostomy bags,reduce the occurrence of ostomy complications,and improve their postoperative quality of life.

关 键 词：品管圈活动 肠造口 自护能力 

分 类 号：R473.6[医药卫生—护理学]