品管圈活动降低Ⅱ度以上放射性皮炎的发生率

Quality Control Circle Activities Reduce the Incidence of Ⅱ Degrees Above Radioactive Dermatitis

目的探讨开展品管圈活动在降低Ⅱ度以上放射性皮炎的发生及发展中的效果。方法将2014年12月~2015年12月共96例头颈部肿瘤患者按随机法分为对照组和实验组各48例,对照组患者接受头颈部放疗科常规护理,实验组在对照组的基础上开展品管圈活动,具体为：成立品管圈,确立＂降低Ⅱ度以上放射性皮炎发生率＂的活动主题,分析放射性皮炎发生的原因,制定相应的对策并组织实施,再进行效果确认,比较两组患者Ⅱ度以上放射性皮炎的发生情况。结果对照组Ⅱ、Ⅲ度放射性皮炎的发生率为43.75%、16.67%,实验组Ⅱ、Ⅲ度放射性皮炎的发生率为33.33%、10.42%。其中对照组有2例发生IV度放射性皮炎,实验组则未发生Ⅳ度放射性皮炎。结论品管圈活动在降低Ⅱ度以上放射性皮炎的发生及发展中的效果明显。

Objective To explore the effect of quality control circle（QCC） applied in the management of II degree and above radiodermatitis in patients with head and neck cancer. Methods From December 2014 to December 2015, 96 patientsof untreated head and neck cancer were randomly divided into the standard group and the study group, 48 cases in each group. The standard group implemented conventional nursing, and the study group implemented QCC in the conventional nursing foundation. QCC was formed and establish the theme how to reduce the incedence of II degree and above radiodermatitis in head and neck cancer patients who received radiotherapy. The circle members identified leading cause, formulated the strategies, and implemented improvement measures for quality control. Reasults Compared with the standard group, the study group significantly decreased the incedence of Ⅱ degree 43.75%, 16.67% and Ⅲ degree 33.33%, 10.42%. There were 2 patients occurred Ⅳ degree radiodermatitis in the standard group but there was no patient in the study group. Conclusion The application of QCC significantly decreased the incidence of Ⅱ degree and above radiodermatitis in head and neck cancer patients who received radiotherapy.