护理品质改进活动降低老年病人非计划性拔除胃管发生率

Quality control team to reduce the incidence of unplanned gastric canal extubation in elderly patients

目的探讨护理品质改进活动（QC小组活动）降低老年病人非计划性拔除胃管发生率的效果。方法成立护理品质改进小组，对护士、老年病人及家属进行留置胃管相关知识认知现状调查，分析非计划性拔除胃管原因，进行针对性护理干预，4个月后评价干预活动效果。结果实施后非计划性拔除胃管率由12％降至4％，活动前后差异有统计学意义。结论护理品质改进活动能有效降低老年病人非计划性拔除胃管发生率。

Objective To explore the effect of quality control （QC） team on unplanned gastric canal extubation in elderly patients. Methods A quality control team was set up to look into the reasons of unplanned gastric canal extubation in elderly patients by a questionnaire survey among nurses, patients and families about the relevant knowledge and awareness of indwelling gastric canal. According to the findings, we intervened in elderly patients who need indwelling gastric canal for 4 months. Result After 4 months, the rate of unplanned gastric canal extubation in elderly patients was significantly lower than that before intervention （4% vs.12%; χ^2 = 4.333, P 〈 0.05）. Conclusion Quality control activities can effectively reduce the incidence of unplanned gastric canal extubation in elderly patients.