品管圈活动对慢性心力衰竭患者护理质量的影响

Influences of quality control circle activity on nursing quality in patients with chronic heart failure

目的：探究品管圈活动对慢性心力衰竭患者护理质量的影响。方法方便抽样法抽取100例慢性心力衰竭患者为研究样本，按照品管圈活动实施前后分为观察组（2013年2月—2014年12月）、对照组（2011年2月—2013年1月）。观察入、出院时左室射血分数（ EF）和6 min 步行试验（6MWT），比较两组护理质量相关指标、康复训练知识的知晓率。结果观察组患者入院时EF、6MWT与对照组比较差异无统计学意义（P〉0．05）；出院时观察组EF（54．3±9．2）％、6MWT（403．6±74．7）m，高于对照组，差异有统计学意义（ P〈0．05）；观察组护理工作满意率98％、住院患者床旁护理落实率90．0％、出院患者电话回访率94．0％，高于对照组，差异有统计学意义（P〈0．05）；两组患者对康复训练知识的知晓率比较，观察组训练种类知晓率92．0％、持续时间知晓率82．0％、训练频率知晓率84．0％、停止训练指征知晓率80．0％、注意事项知晓率74．0％，分别高于对照组，差异具有统计学意义（ P〈0．05）。结论品管圈活动能够保证病区护理管理质量，提高护理人员工作积极性，改善患者身心状态。

Objective To explore the influences of quality control circle activity on nursing quality in patients with chronic heart failure .Methods A total of 100 patients with chronic heart failure were selected as the research sample according to convenience sampling .And then, they were divided into observation group＆amp;nbsp;（ from February 2013 to December 2014 ） and control group （ from February 2011 to January 2013 ） on the basis of the implementation time of quality control circle activity .The left ventricular ejection fraction （ EF） and 6 minutes walk test （6MWT） were observed on admission and at discharge .Besides, we also compared the relevant index of nursing quality and the awareness rate about rehabilitation training .Results There were no statistically significant differences in left ventricular EF and 6MWT between observation group and control group on admission （P〉0.05）;however, the left ventricular EF[（54.3 ±9.2）%] and the 6MWT [（403.6 ±74.7） m] in observation group were higher than those in control group at discharge with statistically significant differences （P〈0.05）.Moreover, the degree of satisfaction with nursing （98%）, the implementation rate of pre-bed care for hospitalized patients （90.0%） and the rate of return visit with telephone （94.0%） in observation group were significantly higher than those in control group at discharge （P〈0.05）.Besides, when it comes to the comparison in the awareness rate about rehabilitation training between two groups, the awareness rate of training types （92.0%）, duration （82.0%）, frequency of training （84.0%）, the indication of stopping training （80.0%） and matters need attention （74.0%） in observation group were significantly higher than those in control group at discharge with statistically significant differences （ P〈0.05）.Conclusions Quality control circle activity can ensure the quality of nursing management in wards , increase the work enthusiasm of nursing staff and patients′physical and mental state.