Liu Wangmei, Guo Jing, Jiang Qiaomin, Zhou Guangnao, Dong Yanyu, Xu Biqing, Liu Zhongda, Zhang Zunjing, Liu Jianjun
Department of Tuberculosis, Lishui Hospital of Traditional Chinese Medicine, Lishui, Zhejiang, People's Republic of China.
Patient Prefer Adherence. 2024 Jan 21;18:227-237. doi: 10.2147/PPA.S445632. eCollection 2024.
The purpose of this study is to examine the effect of quality control circle (QCC) activities on increasing the mask-wearing compliance of hospitalized patients diagnosed with tuberculosis (TB) during external examinations.
To assess the mask-wearing compliance of patients diagnosed with TB admitted to a ward in our hospital in 2019, who visited other departments, we conducted activities in accordance with the ten steps of the QCC. We outlined the causes of non-compliance and developed and implemented improvement plans. We compared the results obtained before and after the implementation of the QCC to assess the enhancement in patient compliance concerning wearing masks during external examinations, particularly among individuals diagnosed with pulmonary tuberculosis.
The compliance rate for mask-wearing during external examinations rose from an initial 32.61% (45/138) prior to the intervention to 83.71% (149/178) following the intervention. The difference between the two groups was statistically significant (χ = 85.635, P < 0.001). The following countermeasures and implementation measures were formulated: (1) Increasing public health education and awareness; (2) Strengthening the training of nursing staff to enhance their knowledge; (3) Providing free surgical masks; (4) Establishing an effective monitoring system with the department of auxiliary examinations.
QCC interventions were significantly effective in enhancing adherence to mask-wearing protocols during external examinations of hospitalized patients with tuberculosis. Such improvements contribute substantially to the mitigation of tuberculosis transmission within clinical and healthcare environments.
本研究旨在探讨品管圈（QCC）活动对提高确诊为结核病（TB）的住院患者在外出检查时佩戴口罩依从性的影响。
为评估2019年我院某病房收治的确诊为TB且前往其他科室就诊的患者佩戴口罩的依从性，我们按照QCC的十个步骤开展活动。我们梳理了不依从的原因，并制定和实施了改进计划。我们比较了QCC实施前后获得的结果，以评估患者在外出检查时，尤其是确诊为肺结核的患者中佩戴口罩依从性的提高情况。
外出检查时佩戴口罩的依从率从干预前的初始32.61%（45/138）升至干预后的83.71%（149/178）。两组之间的差异具有统计学意义（χ = 85.635，P < 0.001）。制定了以下对策和实施措施：（1）加强公共卫生教育和意识；（2）加强护理人员培训以提高其知识水平；（3）提供免费外科口罩；（4）与辅助检查科室建立有效的监测系统。
QCC干预在提高住院结核病患者外出检查时佩戴口罩协议的依从性方面具有显著效果。这些改进对减轻临床和医疗环境中的结核病传播有很大贡献。
