齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
Journal of Qilu Nursing
2015年
20期
23-25
,共3页
陆立岚%陈云%刘桂艳%滕汉娟
陸立嵐%陳雲%劉桂豔%滕漢娟
륙립람%진운%류계염%등한연
品管圈%手术患者%安全交接%护理管理
品管圈%手術患者%安全交接%護理管理
품관권%수술환자%안전교접%호리관리
QCC%Surgical patients%Safe handover%Nursing management
目的：探讨品管圈在手术患者安全交接管理中的应用方法及效果。方法：通过现状调查、原因分析、制定对策、组织实施、效果确认等程序，开展品管圈活动，比较品管圈实施效果。结果：改善前后交接缺陷率比较差异有统计学意义（χ2＝10.959， P ＝0.001）。目标达成率为126%，进步率为73%。圈员运用品管圈能力、专业知识、脑力激荡能力、团结精神、活动参与度等明显提高。改善前后手术室交接时间比较差异有统计学意义（t ＝68.21，P ﹤0.01）。改善前后手术患者送回病房交接时间比较差异有统计学意义（t ＝38.99，P ﹤0.01）。改善前后护士主动交接率比较差异有统计学意义（χ2＝484.24，P ﹤0.01）。结论：品管圈活动可降低手术患者交接缺陷率，保证手术患者安全，增强护理安全管理意识、创新意识及团队协作意识。
目的：探討品管圈在手術患者安全交接管理中的應用方法及效果。方法：通過現狀調查、原因分析、製定對策、組織實施、效果確認等程序，開展品管圈活動，比較品管圈實施效果。結果：改善前後交接缺陷率比較差異有統計學意義（χ2＝10.959， P ＝0.001）。目標達成率為126%，進步率為73%。圈員運用品管圈能力、專業知識、腦力激盪能力、糰結精神、活動參與度等明顯提高。改善前後手術室交接時間比較差異有統計學意義（t ＝68.21，P ﹤0.01）。改善前後手術患者送迴病房交接時間比較差異有統計學意義（t ＝38.99，P ﹤0.01）。改善前後護士主動交接率比較差異有統計學意義（χ2＝484.24，P ﹤0.01）。結論：品管圈活動可降低手術患者交接缺陷率，保證手術患者安全，增彊護理安全管理意識、創新意識及糰隊協作意識。
목적：탐토품관권재수술환자안전교접관리중적응용방법급효과。방법：통과현상조사、원인분석、제정대책、조직실시、효과학인등정서，개전품관권활동，비교품관권실시효과。결과：개선전후교접결함솔비교차이유통계학의의（χ2＝10.959， P ＝0.001）。목표체성솔위126%，진보솔위73%。권원운용품관권능력、전업지식、뇌력격탕능력、단결정신、활동삼여도등명현제고。개선전후수술실교접시간비교차이유통계학의의（t ＝68.21，P ﹤0.01）。개선전후수술환자송회병방교접시간비교차이유통계학의의（t ＝38.99，P ﹤0.01）。개선전후호사주동교접솔비교차이유통계학의의（χ2＝484.24，P ﹤0.01）。결론：품관권활동가강저수술환자교접결함솔，보증수술환자안전，증강호리안전관리의식、창신의식급단대협작의식。
Objective:To explore the application method and effect of quality control circle(QCC)in the management of safe handover of surgical patients. Methods:The QCC activities were conducted and the procedures were performed,including investigation on the current status,analysis of the causes,development of strategies,organization and implementation,verification of the effectiveness. Results:There was statistically significant difference in the comparison of rate of defects in handover of the patients before and after the implementation of QCC(χ2 = 10. 959,P = 0. 001);the up - to - target rate was 126% ,the rate of improvement was 73% ;the comparison of the handover time in the operation room was significantly different before and after its implementation(t = 68. 21,P ﹤ 0. 01);the comparison of the han-dover time in the ward was significantly different before and after its implementation(t = 38. 99,P ﹤ 0. 01);the rate of initiative handover by nurses was significantly different before and after its implementation(P ﹤ 0. 01,χ2 = 484. 24). Conclusion:Implementation of QCC can reduce the defect rate and ensure the safety of surgical patients and improve the consciousness of safety management,innovation and team collaboration of nurses.
