品管圈活动在降低重症监护室患者身体约束缺陷中的应用

APPLICATION OF QCC IN REDUCING INCIDENCE OF RESTRAINT DEFECTS OF ICU PATIENTS

目的探讨降低ICU患者身体约束缺陷率的方法。方法成立“护心圈”QCC医护小组,以“降低ICU患者身体约束缺陷率”为主题,按照QCC活动步骤,进行现状把握、真因验证、对策拟定、实施对策,观察活动效果。结果实施QCC活动后患者身体约束缺陷率由27.45%降至8.57%(χ2=6.42,P=0.011);QCC活动后圈员QCC手法、团队精神、沟通协调、解决问题、凝聚力、和谐度等得分均高于活动前(t=3.20~5.21,P<0.01)。结论QCC活动能有效降低了ICU患者身体约束缺陷率,增强成员的综合能力。

Objective To explore ways to reduce the rate of physical restraint defects in ICU patients.Methods A QCC medical team of"heart protection circle"was established,with the theme of"reducing the rate of physical restraint defects in ICU patients",and following the steps of QCC activities to grasp the status quo,verify the truth,formulate countermeasures,implement countermeasures,and observe the effects of the activities.Results After the implementation of QCC activities,the patient's physical restraint defect rate decreased from 27.45%to 8.57%(χ2=6.42,P=0.011).After QCC activities,circle members scored on QCC techniques,teamwork,communication and coordination,problem solving,cohesion,harmony,etc.All were higher than the data before the event(t=3.20~5.21,P<0.01).Conclusion QCC activities can effectively reduce the rate of physical restraint defects in ICU patients and enhance the comprehensive capabilities of members.