肝胆外科患者围术期护理中品管圈活动效果

Effect of quality control circle activities in the perioperative nursing of hepatobiliary surgery

  • 摘要:
      目的  探究品管圈活动(QCC)在肝胆外科围术期护理的效果。
      方法  回顾性分析2017年1—12月(QCC护理干预前)52例肝胆外科手术患者(对照组)及2018年1—12月(QCC护理干预后)52例肝胆外科手术患者(观察组)临床资料。比较2组术后恢复情况(术后下床时间、术后排气时间、术后排便时间、术后住院时间)、术后并发症发生情况及护理满意度, 并记录8名护理人员QCC护理干预前后综合能力(QCC手法运用、团队精神、沟通协调、活动信心、责任感、荣誉感)变化情况。
      结果  观察组术后下床时间、术后排气时间、术后排便时间、术后住院时间及术后并发症总发生率均低于对照组(P < 0.05); 观察组护理满意度高于对照组(P < 0.05), 且观察组护理满意度为84.62%, 达到QCC目标值(82.79%); QCC护理干预后, 8名护理人员QCC手法运用、团队精神、沟通协调、活动信心、责任感、荣誉感评分均高于干预前(P < 0.05)。
      结论  QCC干预在肝胆外科围术期护理中应用效果好,能同时提高护理人员综合能力及护理服务质量,对患者术后康复有积极意义。

     

    Abstract:
      Objective  To explore the effect of quality control circle (QCC) activities in perioperative nursing in hepatobiliary surgery.
      Methods  A total of 52 patients with hepatobiliary surgery from January to December 2017 (before QCC nursing intervention) were as control group and 52 patients with hepatobiliary surgery from January to December 2018 (after QCC nursing intervention) were as observation group. Retrospective analysis was performed on clinical data of these patients. The postoperative recovery (postoperative ambulation time, postoperative exhaust time, postoperative defecation time, postoperative hospital stay), occurrence of postoperative complications and nursing satisfaction were compared between the two groups, and the changes of comprehensive abilities (QCC technique, team spirit, communication and coordination, activity confidence, responsibility and sense of honor) were recorded among 8 nursing staffs before and after nursing intervention.
      Results  The postoperative ambulation time, postoperative exhaust time, postoperative defecation time, postoperative hospital stay and total incidence of postoperative complications in observation group were lower than those in control group (P < 0.05). The nursing satisfaction in observation group was significantly higher than that in control group (P < 0.05), and the nursing satisfaction in observation group was 84.62%, which reached the target value of QCC (82.79%). After QCC nursing intervention, the scores of QCC technique, team spirit, communication and coordination, activity confidence, responsibility and sense of honor of 8 nursing staffs were higher than intervention before (P < 0.05).
      Conclusion  QCC intervention has good application effect in perioperative nursing of hepatobiliary surgery, which can improve the comprehensive abilities of nursing staff and the quality of nursing services, and it is of great significance in postoperative rehabilitation.

     

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