品管圈活动提高腰椎管狭窄症患者术后下床方法正确率的效果分析

Effect of quality control circle on postoperative ambulation in patients with lumbar spinal stenosis

目的：探讨开展QCC活动在提高腰椎管狭窄症患者术后下床方法正确率中的应用效果。方法成立QCC小组,运用5M选题法选出得分最高的课题“提高腰椎管狭窄症患者术后下床方法正确率”,制定进度表,对现状进行调查分析后设立腰椎管狭窄症患者术后下床方法正确率达89.44%为目标值；找出腰椎管狭窄症患者术后下床方法错误的原因,进行要因论证后确定5个主要原因,制定相应对策并实施,最后进行效果检查。结果活动前后腰椎管狭窄症患者术后下床方法正确率由76%提升到92%,差异有统计学意义（χ^2=9.52,P〈0.01）。专科水平、工作热情、团队合作精神、QCC活动能力、解决问题能力和沟通技巧各方面都得到提升。结论开展QCC活动可以提高腰椎管狭窄症患者术后下床方法正确率,能有效缩短腰椎管狭窄症手术患者平均住院时间,提高患者满意度和护士的专科护理水平。

Objective To explore the effect of quality control circle （ QCC ） on postoperative ambulation among patients with lumbar spinal stenosis. Methods The QCC group had been established. 5M selection method was used for the topic “To improve the correct rate to get out of bed for postoperative patients with lumbar spinal stenosis”, and then we made plan time table, set up the goal-89. 44% correct rate o get out of bed for postoperative patients with lumbar spinal stenosis after analyzing the incorrect reasons, confirmed 5 reasons after argument, formulated countermeasure and checked out the effects. Results After QCC activities, the rate of correct ambulation （ get out the bed ） amounted 92%, while 76% before the activities, with a significant difference （χ^2 =9. 52,P〈0. 01）. Level of specialty, working passion, team spirit, ability of QCC activity, problem solving skills and communication skills had been improved. Conclusions QCC activities can significantly improve the correct rate of getting out bed, effectively shorten the average length of hospitalization, and improve patients′satisfaction and professional level in clinical nursing.