摘要
目的探讨课题达成型品管圈活动在降低ICU机械通气患者约束率中的效果。方法按时间段将118例ICU行机械通气患者分为对照组57例,研究组61例。对照组实施约束常规护理;研究组针对降低约束率开展课题达成型品管圈活动,即制定有效对策群组并组织实施,进行标准化管理。结果开展品管圈活动后,研究组患者身体约束率、镇静镇痛合格率、谵妄发生率显著下降(均P<0.05)。品管圈活动目标达成率110.8%,进步率33.24%。结论开展课题达成型品管圈活动,有效降低了ICU机械通气患者约束率、谵妄发生率,同时圈员的品管手法、专业知识、沟通协调能力得到有效提高。
Objective To explore the effect of project-based quality control circle(QCC)activities in reducing the restraint rate of patients with mechanical ventilation in ICU.Methods A total of 118 patients with mechanical ventilation in ICU were divided into 2 groups based on the sequential order of admission.The control group(n=57)received routine nursing care,while the intervention group was subjected to project-based QCC activities through which,strategy bundles were formed and implemented,to push through standardized management.Results After the implementation of project-based QCC activities,the physical restraint rate and the qualified rate of sedation and analgesia were significantly lower in the intervention group than in the control group(P<0.05 for all).The goal achievement rate of the program was 110.8%and the progress rate was 33.24%.Conclusion The implementation of project-based QCC activities reduces the restraint rate,and the incidence rate of delirium.QCC team members′maneuver of QCC activities,professional knowledge levels,and communication and coordination ability enjoyed an improvement.
作者
柳莹
高春红
王爱鹏
刘莉莉
张瑜
陈文雅
Liu Ying;Gao Chunhong;Wang Aipeng;Liu Lili;Zhang Yu;Chen Wenya(Intensive Care Unit,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 China)
出处
《护理学杂志》
CSCD
北大核心
2019年第23期54-57,共4页
Journal of Nursing Science
关键词
ICU
机械通气
约束
课题达成型品管圈
非计划拔管
谵妄
镇静
ICU
mechanical ventilation
restraint
project-based quality control circle
unplanned extubation
delirium
sedation
