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品管圈在剖宫产术后早期离床活动管理中的应用:一项观察性研究。

Application of quality control circle in the management of early ambulation after cesarean section: An observational study.

机构信息

Department of Quality Management, Haining Hospital of Traditional Chinese Medicine, Haining, China.

Department of Pharmacy, Haining Hospital of Traditional Chinese Medicine, Haining, China.

出版信息

Medicine (Baltimore). 2024 Apr 5;103(14):e37633. doi: 10.1097/MD.0000000000037633.

Abstract

BACKGROUND

The quality control circle (QCC) model has achieved good results in clinical applications in many hospitals in China and has gained popularity. This study aims to explore the application of QCC activities on early ambulation after cesarean section.

METHODS

A QCC management group was established following standardized methods and techniques. The theme of the group was identified as "to enhance the implementation rate of the patient early ambulation after the cesarean section" through a matrix graph. The early ambulation rates after surgery of patients who received cesarean section were compared before and after QCC managements.

RESULTS

Our data suggested that the early ambulation rates after cesarean section increased from 37.5% to 81.25% after applying QCC management. The biggest factor influencing the ambulation activities 24 ± 4 hours after the surgery was patients and family members do not cooperate. In addition, outstanding improvements in terms of nurses' sense of responsibility and self-confidence, communication and teamwork capacity in the problem-solving process were observed after the establishment of QCC.

CONCLUSION

The application of QCC management had not only increase the early ambulation rates after cesarean section but also improved the quality of nursery care in general.

摘要

背景

品管圈(QCC)模式在中国许多医院的临床应用中取得了良好的效果,深受欢迎。本研究旨在探讨品管圈活动在剖宫产术后早期离床活动中的应用。

方法

采用标准化的方法和技术成立品管圈管理小组,通过矩阵图确定小组主题为“提高剖宫产术后患者早期离床率”。比较品管圈管理前后剖宫产患者术后的早期离床率。

结果

数据显示,应用品管圈管理后剖宫产术后早期离床率由 37.5%提高至 81.25%。影响术后 24±4 小时离床活动的最大因素是患者及家属不配合。此外,在品管圈成立后,护士在解决问题过程中的责任感和自信心、沟通和团队合作能力方面有明显提高。

结论

品管圈管理的应用不仅提高了剖宫产术后的早期离床率,而且提高了整体护理质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37b8/10994446/5091bdf11341/medi-103-e37633-g001.jpg

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