品管圈降低消化内科患者医院感染率的效果评价

Application of Quality Control Circle reduces nosocomial infections in gastroenterology patients

目的:探究品管圈对消化内科患者医院感染的预防效果,避免消化内科患者发生医院感染的情况.方法:选取2011-01/2014-12浙江省嘉善县第一人民医院消化内科住院患者共2422例为观察组,2013-01/2014-12共2190例消化内科住院患者为对照组,对照组给予传统常规护理和指导,观察组患者在给予传统常规护理和指导的基础上进行品管圈活动,调查两组患者发生医院感染及观察组患者进行品管圈活动前后护理人员的洗手依从性的情况和两组患者对护理的满意度,并对两组结果进行比较.结果:观察组患者发生医院感染的例数为28例(1.16%),明显低于对照组患者发生医院感染的例数54例(2.47%),两组比较差异有统计学意义(P<0.05);进行品管圈活动后患者对护理人员的洗手依从性明显提高,进行品管圈活动的患者对护理的满意度明显高于传统常规护理的患者(P<0.05).结论:品管圈活动能明显减少消化内科患者医院感染情况的发生,提高护理人员的洗手依从性和患者对护理的满意度,值得推广应用.

AIM：To explore the preventive effect of Quality Control Circle（QCC） on nosocomial infections in gastroenterology patients.METHODS：A total of 4612 gastroenterology patients hospitalized at Department of Gastroenterology,the First People＇s Hospital of Jiashan from January 2011 to December 2014 were randomly divided into an observation group（2422 cases） and a control group（2190 cases）.The control group received conventional care and guidance,and the observation group was given QCC on the basis of conventional care and guidance.The handwashing compliance and patients＇ satisfaction to nursing were compared between the two groups.RESULTS：The number of cases of nosocomial infections in the observation group（28cases,1.16%） was significantly lower than that of the control group（2.47%）.The handwashing compliance and patients＇ satisfaction to nursing were significantly higher in the observation group than in the control group（P〈0.05）.CONCLUSION：QCC can significantly reduce nosocomial infections and improve handwashing compliance and patients＇ satisfaction to nursing in gastroenterology patients.