摘要
目的探讨品管圈(QCC)活动在预防ICU机械通气患者下肢深静脉血栓(DVT)中的应用效果。方法将2015年6月—12月川北医学院附属医院ICU收治行机械通气治疗的患者200例设为对照组,接受常规护理。于2016年1月开展品管圈活动,将2016年1月—6月行机械通气治疗的患者200例设为干预组。观察2组DVT发生情况,评估圈成员活动前后护理综合素质改善情况。结果干预组DVT发生率3.0%(6/200),低于对照组的12.5%(25/200),差异有统计学意义(P<0.01)。实施QCC活动后护理人员问题解决能力、责任心、团队意识、工作积极性和沟通协调评分均高于实施前,差异有统计学意义(P<0.05)。结论在ICU机械通气患者中,应用QCC活动能有效降低患者下肢深静脉血栓发生率,提高护理成员综合素质,值得临床推广应用。
Objective To investigate the effect of quality control circle（ QCC） program in prevention of deep venous thrombosis（ DVT）） in ICU patients with mechanical ventilation. Methods A total of 200 ICU patients with admission date between June 2015 and December 2015 were included as the control group,receiving conventional nursing care during mechanical ventilation. The QCC program had been carried out since January 2016,and another 200 ICU patients with admission date between January 2016 and June 2016 were recruited as the intervention group. The incidence of DVT was compared between two groups,and the comprehensive quality of nursing staffs was evaluated before and after implementation of QCC program. Results The incidence of DVT was 12. 5%（25 /200）in control group and was 3. 0%（6 /200） in the intervention group,with a significant difference（ P〈0.01）. Nursing staffs achieved a higher score in assessment of problem-solving,responsibility,teamwork,work motivation,c communication and coordination after QCC program compared with those before QCC program,with significant difference（ P〈0.05）. Conclusion Application of QCC can effectively reduce the incidence of DVT in ICU patients with mechanical ventilation and increase comprehensive quality of nursing staffs.
出处
《中西医结合护理（中英文）》
2016年第10期139-141,144,共4页
Journal of Clinical Nursing in Practice
关键词
品管圈
机械通气
下肢深静脉血栓
quality control circle
mechanical ventilation
deep vein thrombosis
