CAJ | 학술논문

目的：分析品管圈活动在颅脑外伤手术护理中的应用效果。方法选取第四军医大学第一附属医院(以下简称“我院”)2014年1~7月实施品管圈活动的260例患者作为试验组，由构成品管圈的8名成员按照事先制订好的护理流程进行患者手术前后的护理工作。另选取我院2013年9~12月未实施品管圈活动的100例患者作为对照组，按照脑外科常规手术护理方法进行护理。比较两组的手术时间、术中出血量、术后并发症发生率、护理满意度、患者依从性、护理质量评分及护理缺陷率。结果试验组平均手术时间[(57.18±9.62)min]明显短于对照组[(92.21±10.52)min]，平均术中出血量[(218.95±3.07)mL]明显少于对照组[(402.44±1.03)mL]，术后并发症发生率[4.2%(11/260)]明显低于对照组[24.0%(24/100)]，差异均有统计学意义(均P<0.05)。试验组护理质量总评分及专业技能、服务态度、考勤各项评分均显著高于对照组(均P<0.05)，护理缺陷率[4.2%(11/260)]显著低于对照组[19.0(19/100)](P<0.05)。试验组满意或非常满意度(47.3%)明显高于对照组(19.0%)，满意度总评分[(96.60±4.81)分]明显高于对照组[(79.28±5.17)分]，患者±从性评分[(95.21±4.07)分]明显高于对照组[(81.79±3.39)分]，差异均有统计学意义(均P<0.05)。结论品管圈活动在颅脑损伤手术护理中的应用可显著改善工作效率和质量，缩短手术时间，减少术中出血量，避免护理缺陷，提高患者满意度与治疗依从性。
목적：분석품관권활동재로뇌외상수술호리중적응용효과。방법선취제사군의대학제일부속의원(이하간칭“아원”)2014년1~7월실시품관권활동적260례환자작위시험조，유구성품관권적8명성원안조사선제정호적호리류정진행환자수술전후적호리공작。령선취아원2013년9~12월미실시품관권활동적100례환자작위대조조，안조뇌외과상규수술호리방법진행호리。비교량조적수술시간、술중출혈량、술후병발증발생솔、호리만의도、환자의종성、호리질량평분급호리결함솔。결과시험조평균수술시간[(57.18±9.62)min]명현단우대조조[(92.21±10.52)min]，평균술중출혈량[(218.95±3.07)mL]명현소우대조조[(402.44±1.03)mL]，술후병발증발생솔[4.2%(11/260)]명현저우대조조[24.0%(24/100)]，차이균유통계학의의(균P<0.05)。시험조호리질량총평분급전업기능、복무태도、고근각항평분균현저고우대조조(균P<0.05)，호리결함솔[4.2%(11/260)]현저저우대조조[19.0(19/100)](P<0.05)。시험조만의혹비상만의도(47.3%)명현고우대조조(19.0%)，만의도총평분[(96.60±4.81)분]명현고우대조조[(79.28±5.17)분]，환자±종성평분[(95.21±4.07)분]명현고우대조조[(81.79±3.39)분]，차이균유통계학의의(균P<0.05)。결론품관권활동재로뇌손상수술호리중적응용가현저개선공작효솔화질량，축단수술시간，감소술중출혈량，피면호리결함，제고환자만의도여치료의종성。
Objective To analyze the effect of quality control circle in surgical nursing of patients with craniocerebral injury. Methods Two hundred and sixty cases of patients who took quality control circle from January to July 2014 in the First Affiliated Hospital of the Fourth Military Medical University ("our hospital"for short) were selected as experi-mental group, 8 members who made up quality control circle took the nursing work of patients before and after opera-tion according to the nursing procedure set in advance. One hundred patients without taking quality control circle in our hospital from September to December 2013 were selected as control group, who took nursing according to conven-tional surgical nursing in department of cerebral surgery. The operation time, intraoperative blood loss, incidence of postoperative complications, nursing satisfaction, compliance of patients, scores of nursing quality and the rate of nurs-ing defect between the two groups were compared. Results In the experimental group, the average operation time [(57.18±9.62) min] was shorter than that of control group [(92.21±10.52) min], the average intraoperative blood loss [(218.95±3.07) mL] was less than that of control group [(402.44±1.03) mL], the incidence of postoperative complications [4.2% (11/260)] was lower than that of control group [24.0% (24/100)], the differences were all statistically significant (all P<0.05). The total scores of nursing quality and each scores of professional skill, service attitude and checking-in were all significantly higher than those of control group (all P< 0.05), the rate of nursing defect [4.2% (11/260)] was significantly lower than that of control group [19.0 (19/100)] (P< 0.05). The degree of satisfaction or very satisfaction (47.3%) in experimental group was higher than that of control group (19.0%), the total scores of satisfaction [(96.60±4.81) points] were higher than that of control group [(79.28±5.17) points], the scores of compliance of patients [(95.21±4.07) points] were higher than that of control group [(81.79±3.39) points], the differences were all statistically signifi-cant (all P<0.05). Conclusion Application of quality control circle in surgical nursing of craniocerebral injury can sig-nificantly improve the working efficiency and quality, shorten the operation time, reduce intraoperative blood loss, avoid nursing defect, and enhance nursing satisfaction and compliance of patients.