品管圈活动在降低急性淋巴细胞白血病患儿化疗期间口腔黏膜炎发生率中的应用

Application of quality control circle on reducing incidence of chemotherapy related oral mucositis in children with acute lymphoblastic leukemia

目的：探讨品管圈活动在降低儿童急性淋巴细胞白血病（ ALL）化疗期间口腔黏膜炎发生率活动中的效果。方法成立品管圈活动小组,以“降低儿童急性淋巴细胞白血病化疗期间口腔黏膜炎发生率”为主题,进行现状调查,分析发生口腔黏膜炎的原因,设定目标,制定对策并实施,进行效果评价等。结果观察组患儿口腔黏膜炎发生率为14.86%,低于对照组的39.19%,差异有统计学意义（χ^2=22.20,P〈0.01）,且低于预定的目标值,达到预期目标。观察组发生口腔黏膜炎的严重程度小于对照组,差异有统计学意义（Z=22.20,P〈0.05）。雷达图显示,活动后,圈员的工作热情、沟通能力、责任心、团队凝聚力、创造性思维及解决问题能力均较活动前提高。结论开展品管圈活动不仅降低了儿童ALL化疗期间口腔黏膜炎发生率,同时还提高了圈员的责任心和质量管理能力,促进了血液科专科护理质量持续改进。

Objective To investigate the effect of quality control circle （ QCC ） application in reducing incidence of oral mucositis in children with acute lymphoblastic leukemia （ ALL ） during chemotherapy. Methods We founded QCC team and established “Reducing incidence of oral mucositis in children with ALL” as the subject, conducted survey, analyzed the reasons for the occurrence of oral mucositis, set goals, developed countermeasures, and conducted effect evaluation. Results The incidence of oral mucositis in children with ALL was 14. 86% in the experimental group compared 39. 19% of the control group （χ^2 =22. 20,P〈0. 01）, both were lower than the goals and achieved our aims. The severity in the experimental group was significantly lower than that the control group in oral mucositis incidence （ P〈0. 05）. Conclusions QCC application can not only reduces incidence of oral mucositis in children with ALL, but also improves the responsibilities and quality management capabilities of QCC members, and promotes the continuous improvement of the quality of nursing in Department of Hematology.