摘要
目的探讨品管圈活动降低ICU非机械通气病人人工气道堵塞率的效果。方法于我科选取留置人工气道的非机械通气病人,以2015年7—11月实施品管圈活动的65例病人为观察组,以2015年1—5月未实施品管圈活动的61例病人为对照组。比较两组人工气道堵塞率、留置人工气道时间及ICU住院时间。结果实施品管圈活动后,外科ICU非机械通气病人人工气道堵塞率从11.48%降至1.54%,留置人工气道时间从（9.43±8.97）d降至（6.15±6.14）d,ICU住院时间从（13.11±11.43）d降至（8.21±7.26）d,差异均具有统计学意义（χ~2=5.23,t=2.37、2.86,P〈0.05）。结论品管圈活动能改善人工气道的管理,有效降低ICU非机械通气病人人工气道堵塞率,显著缩短危重病人人工气道留置时间及ICU住院时间。
Objective To explore the effect of quality control circle activity（QCCA）on reducing the artificial airway block rate in non-mechanical ventilation（NMV）patients. Methods Patients received artificial airway for non-mechanical ventilation were selected for this study.From July to November 2015,QCCA was implemented in our hospital,the patients treated in this period were enrolled to serve as observation group,and 61 patients treated before implementation of QCCA-from January to May 2015-were selected to be served as controls.A comparison between the two groups was conducted with regard to the artificial airway block rate,the duration of the artificial airway and the length of ICU stay. Results After implementation of QCCA,the artificial airway block rate in NMV patients in surgical ICU reduced from 11.48% to 1.54%,and the indwelling time of artificial airway from（9.43±8.97）days to（6.15±6.14）days,and the length of ICU stay reduced from（13.11±11.43）days to（8.21±7.26）days,the differences were statistically significant（χ~2=5.23;t=2.37,2.86;P〈0.05）. Conclusion The activity of quality control circle improves the management of artificial airway,effectively reduce the obstruction rate of artificial airway in surgical ICU patients with non-mechanical ventilation,and notably shorten the indwelling time of the airway and ICU stay of critically ill patients.
出处
《齐鲁医学杂志》
2016年第4期475-477,480,共4页
Medical Journal of Qilu
关键词
品管圈
质量改进
重症监护病房
气道管理
quality control circle
quality improvement
intensive care units
airway management
