QCC在预防神经内科住院患者跌倒与坠床的应用

QCC in Preventing the Application of Neurology Hospital Patients and Drop of Bed

目的通过品管圈(QCC)小组活动分析神经内科患者发生跌倒/坠床的相关因素,采取相应措施降低患者跌倒/坠床事件的发生率。方法成立QCC小组,对2013年6月至2014年5月期间发生的跌倒/坠床事件进行回顾性分析,针对事件发生的原因制定相应的护理措施,对2014年7月至2015年4月收治的患者进行干预,比较实施QCC活动前后患者跌倒/坠床例数,患者对于护理安全满意度及组内成员的自我能力评价。结果 QCC活动前发生跌倒/坠床31例,发生率为10.26%,QCC活动后为12例,发生率为4.74%,差异具有统计学意义(P<0.05)。QCC活动前的患者总满意度为69.54%,QCC活动后的患者总满意度为91.7%,差异具有统计学意义(P<0.05)。圈员对解决问题能力、责任心、协调沟通能力、团队凝聚力、自信心、积极性及幸福感7方面自我评分均高于活动前,差异具有统计学意义(P<0.05)。结论 QCC活动能有效降低神经内科患者跌倒/坠床的发生率,提高患者对护理安全的满意度和护理人员的的工作能力。

Objective Through the analysis of the quality control circle（ QCC） group activities neurology patients occur fall /drop the related factors of the bed,take corresponding measures to reduce the incidence of patients fall / drop bed event. Methods QCC group is established,in June 2013 to May 2014 fall / drop of bed events were analyzed retrospectively,formulate corresponding nursing measures for the cause of events,in July 2014 to April 2015 patients admitted to intervene,comparison of patients before and after the implementation of QCC activity fall / drop of bed cases,patients satisfaction to nursing security,and the evaluation of the self ability of the team＇s members. Results： QCC activity before the occurrence of fall / bed 31 cases,the incidence of 10. 26%,after the QCC activity for 12 cases,the incidence was 4. 74%,the difference is statistically significant（ P〈0. 05）. QCC activity before the total satisfaction of patients was 69. 54%,the QCC activity of patients after total satisfaction was 91. 7%,the difference is statistically significant（ P〈0. 05）. Circle part of problem solving ability,responsibility,communication ability,team cohesion,self- confidence,enthusiasm and happiness 7 scores were higher than before,statistically significant difference（ P〈0. 05）. Conclusion QCC activity can effectively reduce the incidence of neurology patients fall / drop of bed,improve patient satisfaction to nursing safety and nurses＇ ability to work.