品管圈活动降低手术室感染率的效果分析

Efficacy Analysis of QCC in Reducing Infection of the Operating Room

目的:探讨品管圈活动(QCC)降低手术室感染率的效果。方法:2014年6月广州市番禺区中心医院手术室成立QCC活动小组,按照选定主题→活动计划→把控现状→对策解析→确定效果等步骤进行品管圈活动,比较QCC实施后(2014年6-11月)与QCC实施前(2014年1-5月)的切口感染率及术后3 d体温升高率(>38.0℃)、白细胞升高率(>10.0×109/L),比较QCC实施前后的团体凝聚力、责任心、主动性、自信心、解决问题的能力及和谐度。结果:QCC实施后手术切口感染率(0.3%vs 1.4%)、术后3 d体温升高率(2.6%vs 5.0%)及白细胞升高率(3.3%vs 6.5%)均显著低于QCC实施前(P<0.01);QCC实施后团体成员的凝聚力[(4.2±0.5)分vs(1.9±0.6)分]、责任心[(4.7±0.5)分vs(3.2±0.8)分]、主动性[(4.5±0.6)分vs(2.1±0.5)分]、自信心[(4.1±0.5)分vs(2.5±0.7)分]、解决问题能力[(3.8±0.8)分vs(2.7±0.7)分]及和谐度[(4.8±0.4)分vs(3.0±0.9)分]均显著高于QCC实施前水平(P<0.001)。结论:品管圈活动可有效降低手术室感染率,并提升参与人员的综合素质,提升团队能力。

Objective：To explore the efficacy of QCC in reducing infection of the operating room.Method：QCC activity groups was set up by the Traditional Chinese Medicine Hospital of Panyu District since June 2014.According select topics,plan activity,control the status,plan countermeasures,make sure the efficacy steps to implement QCC activities.The wound infection and temperature rise rate （〉38.0 ℃） 3 days after operation,leukocytosis rate （〉10.0×109/L） 3 days after operation were compared before QCC implementation （January 2014 to May 2014） and after QCC implementation （June 2014 to November 2014）.The cohesion,sense of responsibility,initiative,self-confidence,problem-solving ability and harmony were compared before QCC implementation and after QCC implementation.Result：The wound infection rate（0.3% vs 1.4%）,the rate of temperature rise 3 days after operation （2.6% vs 5.0%） and leukocytosis rate （3.3% vs 6.5%）3 days after operation before QCC implementation were significantly lower than that after QCC implementation（P〈0.01）.The cohesive [（4.2±0.5） points vs （1.9±0.6） points],responsibility [（4.7±0.5） points vs （3.2±0.8） points],initiative [（4.5±0.6） points vs（2.1±0.5） points],confidence [（4.1±0.5） points vs（2.5±0.7）points],problem solving [（3.8±0.8） points vs（2.7±0.7） points] and harmony [（4.8±0.4） points vs （3.0±0.9） points] after QCC implementation were significantly higher than that before QCC Implementation（P〈0.001）.Conclusion：QCC could effectively reduce the operating room infection rate,and improve the overall quality of the participants,improve the ability of QCC team.