摘要
目的探讨品管圈管理法提升呼吸机相关肺炎(VAP)控制措施依从性的效果。方法采用便利抽样法分别抽取2014年1—12月(对照组)和2015年1—12月(试验组)入住某院重症监护病房(ICU)并行机械通气的患者各100例,试验组采取品管圈管理法,比较实施品管圈前后ICU医务人员VAP控制措施和手卫生依从情况。结果试验组和对照组医务人员各项VAP控制措施依从率比较,差异均有统计学意义(均P<0.001);对照组所有措施全部执行的依从率为32.00%,试验组为74.00%,差异有统计学意义(P<0.001)。对照组医务人员手卫生依从率为29.14%,合格率为42.50%,患者VAP发生率为10.00%;试验组分别为83.64%、82.50%、2.00%,差异均有统计学意义(均P<0.001)。结论品管圈管理法在提高医务人员VAP集束化预防策略和手卫生依从性方面效果显著,可以有效降低VAP的发生率。
Objective To evaluate the effect of quality control circle（QCC）on improving compliance to ventilator-associated pneumonia（VAP）control measures.Methods 100 patients who were admitted to an intensive care unit （ICU）and with mechanical ventilation in January-December 2014 （control group）and 100 patients with mechanical ventilation in January-December 2015 （trial group）were selected with convenient sampling method.Trial group im-plemented QCC management method,compliance to VAP control measures and hand hygiene （HH）among HCWs before and after implementing QCC was compared respectively.Results Difference in compliance to each VAP con-trol measure between HCWs in trial group and control group was significant（all P 〈0.001 ）;compliance rate to all control measures in control group and trial group were 32.00% and 74.00% respectively（P 〈0.001 ）.Compliance rate and qualified rate of HH among HCWs in control group were 29.14% and 42.50% respectively,trial group were 83.64% and 82.50% respectively,incidence of VAP in patients in control group and trial group were 10.00%and 2.00% respectively （all P 〈0.001）.Conclusion QCC management has remarkable effect on improving bundle prevention strategy of VAP and HH compliance of HCWs,and can effectively reduce the incidence of VAP.
出处
《中国感染控制杂志》
CAS
北大核心
2016年第11期868-871,共4页
Chinese Journal of Infection Control
关键词
品管圈
集束化预防策略
手卫生
呼吸机相关肺炎
依从性
医院感染
quality control circle
bundle prevention strategy
hand hygiene
ventilator-associated pneumonia
compliance
healthcare-associated infection
