品管圈干预对肝衰竭患者行人工肝术后下肢深静脉血栓的预防效果

Prevention Effect Analysis of QCC Intervention on Deep Vein Thrombosis in Lower Extremity of Patients with Liver Failure After Artificial Liver Surgery

目的研究品管圈(QCC)干预对肝衰竭患者行人工肝术后下肢深静脉血栓的预防效果。方法将从2017年9月—2018年12月于深圳市第三人民医院接受人工肝支持系统治疗的45例患者记作试验组,予以QCC干预。另取从2016年3月—2017年8月接受人工肝支持系统治疗的45例患者记为参照组,予以常规护理干预。分别对比两组下肢深静脉血栓发生率,干预前后心理状态变化情况以及护理满意度情况。结果试验组患者下肢深静脉血栓发生率为0.00%(0/4),相比参照组的8.89%(4/45)较低(P<0.05)。干预后试验组与参照组在SAS、SDS评分方面对比,前者低于后者(均P<0.05)。试验组与参照组在满意度方面对比,前者高于后者(P<0.05)。结论QCC干预对肝衰竭患者行人工肝术后下肢深静脉血栓的预防效果显著,有利于缓解患者的焦虑、抑郁等不良情绪,提高护理满意度。

Objective To investigate the preventive effect of QCC intervention on deep vein thrombosis in lower limbs of patients with liver failure after artificial liver surgery.Methods 45 patients who received artificial liver support system treatment in the hospital from September,2017 to December,2018 were recorded as the experimental group and given QCC intervention.In addition,45 patients who received artificial liver support system treatment in the hospital from March,2016 to August,2017 were recorded as the reference group,and conventional nursing intervention was given.The incidence of lower extremity deep vein thrombosis,the changes of psychological state before and after intervention and nursing satisfaction were compared between the two groups.Results The incidence of lower extremity deep vein thrombosis in the experimental group was 0.00%(0/4),which was lower than 8.89%(4/45)in the control group,and the difference was statistically significant(P<0.05).After intervention,SAS and SDS scores of the experimental group and the reference group were lower than the latter(all P<0.05).Compared with the control group,the satisfaction of the experimental group was higher than the control group(P<0.05).Conclusion QCC intervention has a significant effect on the prevention of lower extremity deep vein thrombosis in patients with liver failure after artificial liver surgery,which is conducive to alleviating anxiety,depression and other adverse emotions of patients and improving nursing satisfaction.