通过品管圈活动提高泌尿造口护理水平的探讨

The Investigation of Improving Nursing Level in Patients with Urological Ileostomy by Means of Quality Control Circle

目的:探讨通过品管圈活动提高泌尿造口护理水平的临床效果。方法:建立品管圈,通过分析寻找护理活动存在的缺陷,制定改善计划和目标并在计划时间内实施。结果:试验组患者并发症总体发生率(10.9%)及刺激性皮炎发生率(9.1%)均显著降低(P<0.05);试验组患者出院及术后6个月时生活质量评分分别为3(2,4)及2(1,3),显著低于对照组患者(P<0.05);品管圈目标达成率104.3%,进步率63.9%。结论:在全膀胱切除+Bricker回肠膀胱术患者中开展品管圈活动,可以迅速、有效提高造口护理水平,在降低造口并发症发生率的同时提高了患者的远期生活质量,具有临床推广价值。

Objective:Investigate the efficacy of quality control circle on improving the nursing level ofurological ileostomy.Methods:Establish a Quality control circle,analyze the defects in the nursing activities,make improvement plans and targets and implement them within the planned time.Results:In the experimentalgroup,the overall incidence of complications(10.9%)and the incidence of stimulating dermatitis(9.1%)decreasedsignificantly(P<0.05).The quality of life scores were3(2,4)and2(1,3)in the six months after discharge andoperation,significantly lower than the control group(P<0.05).The goal of the Quality control circle was104.3percent,and the progress rate was63.9percent.Conclusions:Quality control circle activity can improve thenursing level of colostomy significantly and thus decrease the incidence of complications,as well as meliorate thelong-term quality of life among patients receiving radical cystectomy and ideal conduit.