QCC活动对降低宫颈癌术后患者尿潴留发生率的作用效果

Effect of QCC activities on reducing the incidence of urinary retention in postoperative patients with cervical cancer

目的:探讨品管圈(QCC)活动对降低宫颈癌术后患者尿潴留发生率的作用效果。方法:我科2017年1~6月成立QCC小组,确立QCC活动主题为降低宫颈癌术后尿潴留发生,并分析尿潴留发生原因制定护理干预措施,比较QCC活动前后患者术后尿潴留发生率、疾病知晓率、满意率及膀胱功能改善情况。结果:实施QCC后宫颈癌患者术后尿潴留发生率明显低于实施前(P<0.05),而患者疾病知晓率、满意率均高于实施前(P<0.05)。实施后患者术后膀胱顺应性、膀胱逼尿肌收缩力、尿道闭合压均优于实施前(P<0.05)。结论:QCC活动能有效改善宫颈癌患者术后膀胱功能,提高患者疾病知晓率,降低患者术后尿潴留发生,提高患者满意率。

Objective： To explore the effect of quality control circle（ QCC） activities on reducing the incidence of urinary retention in postoperative patients with cervical cancer Methods： The QCC group was set up from January 2017 to June 2017. The theme of QCC activities was to reduce the incidence of postoperative urinary retention after cervical cancer and to analyze the causes of urinary retention and to establish nursing interventions. The incidence of postoperative urinary retention,disease awareness rate,satisfaction rate and improvement of bladder function before and after QCC were compared. Results： The incidence of postoperative urinary retention in patients with cervical cancer after QCC was significantly lower than that before implementation（ P 〈 0. 05）,while the awareness rate and satisfaction rate of patients with disease were higher than those before implementation（ P 〈 0. 05）. Postoperative bladder compliance,bladder detrusor contractility,urethral closure pressure were better than before（ P 〈 0. 05）. Conclusions： QCC activity can effectively improve the bladder function of patients with cervical cancer,improve the awareness rate of patients with diseases,reduce postoperative urinary retention and improve patient satisfaction rate.