品管圈降低卒中患者住院期间便秘发生率的应用研究

Application of Quality Control Circle in Reducing the Incidence of Constipation in In-hospital Stroke Patients

目的探讨品管圈活动在降低卒中患者住院期间便秘发生率中的应用及维持效果。方法在山东大学附属省立医院神经内科开展品管圈活动,针对神经内科住院卒中患者便秘发生率高的原因进行查检、分析及改进,改进措施实施一个月后,对实施品管圈活动前后卒中患者便秘发生率进行比较。半年后将改善措施推广至保健神经内科,比较实施推广一个月后保健神经内科卒中患者便秘发生率的变化。结果改善前调查神经内科170例缺血性卒中患者,改善后调查142例缺血性卒中患者,神经内科卒中患者便秘发生率由改善前的67.64%降低到改善后的27.46%,差异有统计学意义(χ^2=49.98,P<0.01),半年后改善效果仍维持,便秘发生率为20.06%。保健神经内科卒中患者便秘发生率由改善前的66.50%降低到改善后的25.50%,差异有统计学意义(χ^2=67.67,P<0.01)。结论通过品管圈活动,有效降低了卒中患者住院期间便秘发生率,可在院内其他科室进行推广。

Objective To investigate the effect of application of quality control circle (QCC) in reducing the incidence of constipation in in-hospital stroke patients. Methods QCC was implemented in Department of Neurology, Shandong Provincial Hospital, the causes and incidence of constipation of stroke patients were examined and analyzed to develop the improvement measurements. After implementing the improvement measures for one month, the incidences of constipation before and after the improvement were compared. Based on the good improvement effect, the improvement measures were applied in Department of Health Neurology after half a year. The changes of constipation incidence of stroke patients in Department of Health Neurology after implementing the measures for one month were observed. Results 170 and 142 patients with ischemic stroke in Department of Neurology were investigated before and after the QCC, respectively. Through the QCC, the incidence of constipation of stoke patients in Department of Neurology significantly reduced from 68.64% to 27.46% (χ2=49.98, P<0.01). After half a year, the improvement effect still maintained and the incidence of constipation was 20.06%. The incidence of constipation of stroke patients in Department of Health Neurology reduced from 66.43% to 25.32% through the QCC, and the difference was statistically significant (χ2=67.67, P<0.01). Conclusions QCC was effective in reducing the incidence of constipation of in-hospital stroke patients, which can be promoted to the other departments in the hospital.