品管圈降低肿瘤患者MARSI发病率效果分析

Analysis of the Effect of Quality Control Circle on Reducing the Incidence of MARSI in Tumor Patients

目的探讨品管圈降低肿瘤患者医用黏胶相关性皮肤损伤(medical adhesive-related skin injuries,MARSI)发病率的临床疗效。方法建立品管圈,分析2017年1月30日—5月30日平煤神马医疗集团总医院肿瘤科收治并使用医用黏胶产品的188例患者的MARSI发病情况,寻找MARSI的发病因素,提出相应对策并予以实施后,探讨品管圈对MARSI发病率的影响。结果通过研究分析制定了MARSI高危因素评估表、标准化医用黏胶产品使用及护理流程与医用黏胶产品选择标准;2017年8月1日—8月31日按照制定的评估表、操作流程及产品选择标准进行护理的100例患者中出现MARSI者9例,MARSI发病率为9.00%,与品管圈实施前25.00%的MARSI发病率相比,χ~2=10.669,P=0.001,P<0.05,差异具有统计学意义。结论品管圈的建立可有效降低MARSI的发病率,确保患者安全,是降低医疗风险的理想选择。

Objective To investigate the clinical efficacy of quality control circle on reducing the incidence of medical adhesive related skin injury（ MARSI） in tumor patients. Methods Quality control circles were set up to analyze the incidence condition of MARSI in 188 patients who were admitted to the Surgery Department of Pingmei Shenma Medical Group General Hospital and used medical adhesive products during January 30,2017 and May 30,2017,with the aim of finding the pathogenic factors of MARSI and putting forward corresponding countermeasures as well as investigating the effect of quality control circles on the incidence of MARSI after the implementation of these measures. Results A high risk factor assessment form of MARSI,standardized instruction and nursing processes of medical adhesive products,relevant selection standards of medical adhesive products were made based on research and analysis. During the period of August 1-31,2017,the assessment form,standardized processes and selection standards were implemented to nurse 100 tumor patients of which 9 patients developed MARSI,with the incidence of MARSI being 9. 00%. As compared with the incidence of MARSI before the implementation of quality control circles,the difference was statistically significant,χ~2= 10. 669,P = 0. 001,P〈0. 05. Conclusion The setting up of quality control circles can effectively decrease the incidence of MARSI and ensure the safety of patients,being an ideal choice for reducing medical risk.