品管圈活动在降低肠内营养相关性腹泻发生率中的应用

Application of quality control circle activity in reducing the incidence of enteral nutrition-related diarrhea

目的探讨品管圈活动在降低使用肠内营养制剂患者肠内营养相关性腹泻发生率的应用效果。方法由全科医学科的11名护士组成品管圈小组,按品管圈实施步骤首先确定“降低使用肠内营养制剂患者肠内营养相关性腹泻的发生率”为活动主题,对肠内营养患者发生腹泻的情况和护士对肠内营养相关性腹泻认知情况进行现状调查,分析引起肠内营养相关性腹泻的原因,制定并实施相应的整改措施。结果开展品管圈活动后使用肠内营养制剂腹泻率由原来的50%降低到21.03%,两者差异有统计学意义(χ^(2)=24.859,P<0.001)。将肠内营养制剂加温到38℃~40℃输注的腹泻率为28.10%,在常温下20℃~29℃输注的腹泻率为14.5%,两者差异有统计学意义(χ^(2)=7,P<0.05),达到了目标值;开展品管圈后圈能力较开展前高,差异有统计学意义(P<0.05)。结论开展品管圈活动可有效降低使用肠内营养制剂患者相关性腹泻的发生率,同时增强护理人员质量管理能力。

Objective To investigate the efficacy of quality control circle(QCC)activities in reducing the incidence of enteral nutrition-related diarrhea in patients using enteral nutritionpreparations.Methods According to the QCC s steps,11 nurses from general medicine department participated in the QCC group first determined the theme as:Reduce the incidence of enteral nutrition preparations correlated diarrhea in patients with enteral nutrition.The situation of diarrhea in patients with enteral nutrition and the cognition of nurses on enteral nutrition-related diarrhea were investigated,the causes of enteral nutrition-related diarrhea were analyzed,and corresponding corrective measures were formulated and implemented.Results After carrying out the QCC program,the incidence rate of enteral nutrition preparation-associated diarrhea decreased from 50%to 21.03%,the result indicated statistical significance(χ^(2)=24.859,P<0.001).The diarrheal rate for warmed enteral nutrition preparations at 38℃-40℃was 28.10%,and for those under room temperature at 20℃-29℃was 14.5%,the result of these two groups indicated statistical significance(χ^(2)=7,P<0.05),target number was achieved.The ability of quality control for the nurses are improved compared to that before QCC activity,noted statistical significance(P<0.05).Conclusion QCC activity has effectively reduced the incidence of diarrhea in patients who use enteral nutrition preparations as well as enhance the management ability of nurses in providing quality care.