品管圈活动对降低住院精神病患者身体约束率的效果观察

Effect of quality control circle activities on reducing the rate of physical restraint in inpatients with mental illness

目的探讨品管圈活动对降低住院精神病患者身体约束率的效果。方法选取2019年1月至12月广州医科大学附属脑科医院使用身体约束的住院精神病患者,采用常规管理(活动实施前);将2020年1月至12月使用身体约束的住院精神病患者开展为期1年的品管圈活动(活动实施后),采用χ^(2)检验分析实施前后住院患者身体约束率的差异。结果活动实施后,住院精神病患者身体约束率明显降低[1.99%(272/13663)比0.88%(95/10795)],差异有统计学意义(χ^(2)=48.914,P<0.05)。结论品管圈活动能显著降低住院精神病患者身体约束率,并形成了标准化的有效措施,既保障了患者的安全,同时提高了本科室的整体工作质量。

Objective To explore the effect of quality control circle activities on reducing the rate of physical restraint in inpatients with mental illness.Methods The inpatients with psychosis who used physical restraint in Brain Hospital Affiliated to Guangzhou Medical University from January to December 2019 were selected as a pre-intervention control group,and routine management was adopted.From January to December 2020,the hospitalized psychiatric patients with physical constraints were used as a post-intervention research group,and one-year quality control circle activities was carried out.χ^(2) test was used to analyze the difference in the inpatients'physical restraint rates before and after the implementation.Results After the implementation of the activities,the physical restraint rate of the psychiatric patients decreased significantly[1.99%(272/13663)vs.0.88%(95/10795)],with a statistical difference(χ^(2)=48.914,P<0.05).Conclusion Quality control circle activities can significantly reduce the physical restraint rate of inpatients with mental illness,and form a standardized effective measure,which not only ensures the patients'safety,but also improves the overall work quality of our department.