品管圈活动在降低术后患者拔管时刺激性咳嗽发生率中的应用

The application of quality control circle in reducing the incidence of irritating cough when performing extubation after operation

目的探讨应用品管圈活动降低术后患者拔管时刺激性咳嗽发生率的应用效果。方法2017年7-12月成立品管圈小组，开展以“降低术后患者拔管时刺激性咳嗽发生率”为主题的品管圈活动。活动内容包括：前期现状调查和数据收集、设定目标、分析造成术后患者拔管时刺激性咳嗽的要因、制定对策并实施。选择2017年7月1-30日（活动前）137例符合筛选条件的拔除气管插管患者为对照组，选择2017年11月1-30日（活动后）225例符合筛选条件的拔除气管插管患者为观察组。比较两组患者拔管时刺激性咳嗽发生情况。结果对照组患者拔管时刺激性咳嗽发生率为81．75％，观察组为31．55％，活动前后比较差异有统计学意义（P〈0．05）。结论开展品管圈活动能规范临床术后患者拔出气管插管的操作流程，降低术后患者拔管时刺激性咳嗽发生率，提高患者安全管理质量。

Objective To explore the application of quality control circle in reducing the incidence of irritating cough when performing extubation after operation. Methods The quality control circle was set up in July to December 2017 and the quality control circle activities with the theme of reducing the incidence of irritating cough during extubation, including preliminary status survey, data collection, setting goals, analyzing the causes of irritant cough after extubation, formulating countermeasures and implementation. A total of 137 patients who received removal of endotracheal intubation between July 1st to 30th of 2017 (before the activity) were chosen as the control group. A total of 225 patients who received removal of endotracheal intubation were selected as control group from November 1st to 30th of 2017 (after the activity). The incidence of irritating cough when performing extubation after operation was compared. Results The incidence of irritating cough when performing extubation after operation in control group was 81.75%, while that in observation group was 31.55%. The difference was statistically significant (P＜0.05). Conclusions Quality control circle can standardize the operation procedure of tracheal intubation after clinical operation, reduce the incidence of irritating cough when performing extubation after operation, and improve the quality of patients security management.