品管圈活动在血液透析医护人员手消毒管理中的应用

Application of Quality Control Circle Activities in Hand Disinfection Management of Hemodialysis Medical Staff

目的探讨品管圈活动在血液透析医护人员手消毒管理中的应用效果。方法选取2022年1—12月第九〇九医院肾脏内科血液透析室的27名医护人员作为研究对象。在科室2022年7月引入品管圈活动后,记录2022年1—6月(引入品管圈活动前)与2022年7—12月(实施品管圈活动后)目标对象手消毒不规范行为发生情况,并评价该管理活动产生的无形效果。结果实施品管圈活动前,七步洗手法不到位、按压手法不准确、消毒液使用剂量不准确、未干燥即操作、操作前未进行消毒发生率依次为22.22%(6/27)、18.52%(5/27)、29.63%(8/27)、22.22%(6/27)、14.81%(4/27),高于实施后3.70%(1/27)、0、7.41%(2/27)、0、0(P<0.05)。实施品管圈活动前,医生、护士、整体医护人员手消毒依从性依次为66.67%(4/6)、66.67%(14/20)、66.67%(18/27),低于实施后100%(6/6)、95.24%(20/21)、96.30%(26/27)(P<0.05)。实施品管圈活动前,医护人员问题解决能力、责任荣誉心、专业知识、质量改善手法认识、团队凝聚力评分分别为(82.49±5.04)分、(82.89±4.94)分、(83.53±4.88)分、(81.86±5.12)分、(83.15±4.92)分,低于实施后(90.27±4.28)分、(91.83±4.06)分、(92.32±3.98)分、(90.85±4.19)分、(93.59±3.76)分(P<0.05)。结论在血液透析医护人员手消毒管理中,品管圈活动的引入不仅能减少相关不规范行为发生,还能提高医务人员问题解决能力、责任荣誉心、专业知识等,最终推动科室医疗质量的提升。

Objective To explore the application effect of quality control circle activities in hand disinfection management for hemodialysis medical staff.Methods A total of 27 medical staff members from the hemodialysis room,of the kidney department and hemodialysis room,the 909th Hospital from January to December 2022 were selected as the research subjects.After the introduction of quality control circle activities in the department in July 2022,the occurrence of non-standard hand disinfection behavior among the target subjects from January to June 2022(before the introduction of quality control circle activities)and from July to December 2022(after the implementation of quality control circle activities)were recorded,and the intangible effects of the management activities were evaluated.Results Before implementing the quality control circle activity,the incidence rates of inadequate seven step washing techniques,inaccurate pressing techniques,inaccurate disinfectant dosage,operation without drying,and failure to disinfect before operation were 22.22%(6/27),18.52%(5/27),29.63%(8/27),22.22%(6/27),and 14.81%(4/27),respectively,which were higher than 3.70%(1/27),0,7.41%(2/27),0,and 0 after implementation(P<0.05).Before implementing the quality control circle activity,the hand disinfection compliance of doctors,nurses,and overall medical staff was 66.67%(4/6),66.67%(14/20),and 66.67%(18/27),which was lower than that of 100%(6/6),95.24%(20/21),and 96.30%(26/27)after implementation(P<0.05).Before implementing the quality control circle activity,the scores for problem-solving ability,sense of responsibility and honor,professional knowledge,understanding of quality improvement techniques,and team cohesion of medical staff were(82.49±5.04)points,(82.89±4.94)points,(83.53±4.88)points,(81.86±5.12)points,and(83.15±4.92)points,respectively,which were lower than those after implementation(90.27±4.28)points,(91.83±4.06)points,(92.32±3.98)points,(90.85±4.19)points,and(93.59±3.76)points(P<0.05).Conclusion In the management of hand disinfection for hemodialysis medical staff,the introduction of quality control circle activities can not only reduce the occurrence of related non-standard behaviors,but also have the effect of improving the problem-solving ability,sense of responsibility and honor,professional knowledge and other abilities of medical personnel,ultimately promoting the improvement of medical quality in the department,which can be recommended for implementation.