品管圈活动对减少住院患儿家属反复询问病情及改善护士烦躁、倦怠情绪的影响

The practicing effect of quality control circle activity in reducing repeated inquiry for hospitalized children＆#39;s symptoms by their families and improving the nurses＆#39; ir-ritability and emotional burnout

目的：探讨品管圈活动对减少住院患儿家属询问病情频次及改善护士烦躁、倦怠情绪的临床应用价值。方法选取126例住院患儿及其1名直系陪护家属为研究对象,根据儿科住院病房品管圈活动开展时间（2014年7月）将其分为研究组（A组）66例和对照组（B组）60例。 B组患儿予以常规护理措施,A组患儿则采用品管圈活动干预措施。比对两组患儿家属在患儿住院期间反复询问病情频次、不良情绪评分差异,记录护士在患儿住院期间护理质量评分、烦躁情绪评分情况,分析其护理满意度、护理投诉率及职业倦怠综合征（ Burnout综合征）发生率差异。结果①A组患儿家属在患儿住院期内反复询问病情频次显著低于B组（ P〈0．05）；B组患儿家属HAMD及HAMA等不良情绪评分显著高于A组（ P〈0．05）；②品管圈活动推行后,18名受试护理人员护理质量评分均较推行前显著提高,MSSNS评分及Burnout综合征发生率则较推行前显著降低（P〈0．05）；③品管圈活动推行后,护理满意度为90．9%,显著高于推行前的81．7%（ P〈0．05）；护理投诉率为1．5%,显著低于推行前的10．0%（ P〈0．05）。结论对住院患儿予以品管圈活动干预措施,可有效缓解患儿家属及护士的不良情绪,对提高护理质量及满意度、减少护理投诉率、降低护士Burnout综合征发生风险、和谐护患关系等具有积极影响,值得临床推广。

Objective To explore the clinical application value of quality control circle activity in reducing the frequency of inquiring symptoms by families of hospitalized children and improving the nurses＇ irritability and emotional burnout. Methods A total of 126 cases of hospitalized children and a lineal accompanying family members of each hospitalized children were selected as the research objects who were divided into the research group （group A, n=66） and the control group （group B, n=60） according to the implementation time of quality control circle activity （July 2014） in inpatient ward of department of pediatrics. The children in group B were given routine nursing and group A adopted the quality control circle activity intervention measures. The frequency of repeated inquiry for symptoms by families of hospitalized children and unhealthy mood score were compared between the two groups. The scores of nursing quality and anxiety of the nurses during the children＇s hospitalization were recorded. The differences in terms of nursing satisfactory degree, nursing complaint rate and the incidence rate of job burnout syndrome （ Burnout syndrome ） were analyzed. Results ①The frequency of repeated inquiry for children ＇ s symptoms by families of hospitalized children of group A was significantly lower than that of group B （P〈0. 05） . The scores of HAMD, HAMA and other unhealthy emotions of families of hospitalized children of group B were significantly higher than that of group A （ P〈0. 05 ）; ②After the implementation of quality control circle activity, the nursing quality scores of 18 tested nurses were significantly higher than that before the implementation, while MSSNS score and the incidence rate of Burnout syndrome were significantly lower than that before the implementation （ P〈0. 05 ）; ③After the implementation of the quality control circle activity, the nursing satisfactory degree was 90. 9% , which was significantly higher than 81. 7% before the implementation （ P〈0. 05 ） . The nursing complaint rate was 1. 5%, which was significantly lower than 10. 0% before the implementation （ P〈0. 05 ） . Conclusions To adopt quality control circle activity intervention measures for hospitalized children can effectively alleviate the negative emotions of family members and nurses. It has positive effect on improving nursing quality and satisfactory degree, reducing nursing complaint rate and the risk of burnout syndrome of nurses and maintaining the harmonious relationship between nurses and patients. It is worthy of clinical promotion.