品管圈活动在脉氧仪监测血氧饱和度婴儿肺炎住院管理中的应用

Application of quality control circle activity in inpatient management of infant pneumonia of oxyhemoglobin saturation monitoring with pulse oxymetry

目的:探讨品管圈活动在脉氧仪监测血氧饱和度(Sp O2)婴儿肺炎住院管理中的应用价值。方法:成立品管圈小组,按照品管圈活动步骤,调查未能早期发现婴儿肺炎并发心肺功能衰竭的因素,以脉氧仪监测Sp O2作为切入点,提高患儿住院关注度,对高危患儿加强管理,做好疾病健康宣教,指导正确扣背排痰,对比改进前后并发心肺功能衰竭的人数及转PICU治疗的比例。结果:改进前后婴儿肺炎并发心肺功能衰竭发生情况比较无统计学意义(P>0.05)。改进后并发心肺功能衰竭的患儿转PICU治疗的情况低于改进前(P<0.05)。圈员们的团队精神、工作积极性、解决问题能力、医护沟通、护患沟通、品管能力、责任与幸福感均得到提升。结论:通过开展品管圈活动联合脉氧仪监测Sp O2可以提高婴儿肺炎住院关注度,早期发现并发心肺功能衰竭,及时干预,减少病情进展后转PICU比例,有利患儿疾病康复。

Objective： To discuss the value of application of quality control circle activity in inpatient management of infant pneumonia of oxyhemoglobin saturation（ Sp O2） monitoring with pulse oxymetry. Methods： A quality control circle team was established,to investigate the factors causing failure to discover the concurrent cardiorespiratory failure of infant pneumonia in early stage according to the steps of quality control circle activity steps; with Sp O2 monitoring with pulse oxymetry as entry point,improve the attention of child patients in hospital,strengthen the management over high- risk child patients,guarantee disease health education,guide correct sputum excretion through back patting,and compare the number of patients of concurrent cardiorespiratory failure as well as the proportion of those transferred to PICU for treatment before and after the improvement. Results： The comparison on occurrence conditions of concurrent cardiorespiratory failure of infant pneumonia before and after improvement was not of statistical significance（ P〈0. 05）. The proportion of child patients with concurrent cardiorespiratory failure transferred to PICU for treatment after improvement was lower than that before improvement（ P〈0. 05）. the quality control circle team members＇ team spirit,working enthusiasm,ability to solve problems,doctor- nurse communication,nurse- patient communication,quality control capability,sense of responsibility and happiness were all improved. Conclusion： Through development of quality control circle activity combined with Sp O2 monitoring with pulse oxymetry,it was able to improve the attention of child patients in hospital,discover the concurrent cardiorespiratory failure as early as possible,timely conduct intervention,and reduce the proportion of transfer to PICU,therefore,helping the recovery of child patients.