课题研究型品管圈在早产儿经口胃管置入管理模式中的应用

Application of research-based quality control circle in the managementmode of oral gastric tube placement in premature infants

目的探讨课题研究型品管圈活动在构建早产儿经口胃管置入管理模式中的应用价值。方法选取2020年1月至2022年12月该院需行经口胃管置入的280例早产儿,以品管圈活动前(2020年1月至2021年12月)收治的180例早产儿为对照组,实施品管圈活动后(2022年6-12月)收治的100例早产儿为观察组。比较2组胃管前端一次性到位率及恶心、呕吐发生率,分析品管圈活动前后圈员综合素质评分。结果2组胃管前端一次性到位率比较,差异有统计学意义(P<0.05),而恶心、呕吐发生率比较,差异无统计学意义(P>0.05)。观察组品管圈活动目标达成率110.9%。品管圈活动后,圈员综合素质评分较活动前得到不同程度的提升,其中品管手法及创新精神能力评分得到明显提高。结论基于课题研究型品管圈活动构建的早产儿经口胃管置入管理模式,能够有效提高早产儿经口胃管前端一次性到位率,降低置管相关并发症发生率。

Objective To explore the application value of quality control circle activities based on research topics in establishing a management model for orogastric tube placement in preterm infants.Methods A total of 280 preterm infants requiring orogastric tube placement from January 2020 to December 2022 at the hospital were selected.The 180 preterm infants treated before the quality control circle activities(from January 2020 to December 2021)served as the control group,while the 100 preterm infants treated after the implementation of the quality control circle activities(from June 2022 to December 2022)were the observation group.The rates of successful tube placement on the first attempt and the incidence of nausea and vomiting were compared between the two groups,along with an analysis of the comprehensive quality scores of the circle members before and after the quality control circle activities.Results There was a statistically significant difference in the rates of successful tube placement on the first attempt between the two groups(P<0.05),but no significant difference in the incidence of nausea and vomiting(P>0.05).The target achievement rate of the quality control circle activities in the observation group was 110.9%.After the quality control circle activities,the comprehensive quality scores of the circle members improved to varying degrees,with notable increases in scores for quality control techniques and innovative spirit.Conclusion The management model for orogastric tube placement in preterm infants,established based on quality control circle activities focused on research topics,effectively improves the success rate of initial tube placement and reduces the incidence of related complications.