品管圈对降低妇科手术患者围手术期健康宣教缺陷率的效果评价

Evaluation of the effect of quality control circle on defect rate of perioperative health education

目的：评价品管圈在降低妇科手术患者围手术期健康宣教缺陷率中的应用效果。方法开展品管圈活动，分析妇科手术患者围手术期健康宣教缺陷率高的要因，制订对策，达到持续质量改进的目的。结果实施前健康缺陷率为43.3%（303/700），实施后健康宣教缺陷率为11.4%（223/1950），实施后与实施前比较缺陷率下降明显，差异有统计学意义（χ2=31.034，P＜0.01）。实施前并发症发生率为7.7%（15/195），实施后为1.5%（3/195），实施前后并发症发生率比较，差异有统计学意义（χ2=8.387，P=0.004）。实施前焦虑发生率为11.8%（23/195），实施后为4.1%（8/195），实施前后焦虑发生率比较，差异有统计学意义（χ2=7.885，P=0.005）。结论开展品管圈活动能有效地降低围手术期的健康宣教缺陷率，提高护理质量和患者满意度，方法简单易行，值得临床推广。

Objective To evaluate the application effect of quality control circle on reducing the defect rate of health education in perioperative period of gynecologic surgery patients. Methods To carry out quality control circle activities, analysis of gynecological surgery patients in perioperative health education defect rate to the cause, the development of countermeasures, to achieve the purpose of continuous quality improvement. Results Before implementation health defects rate was 43.3%(303/700), after the implementation health education defect rate was 11.4%(223/1 950). The health defects rate before and after the implementation showed significant difference (χ2=8.387, P=0.004). The incidence of anxiety before and after the implementation was 11.8%(23/195) and 4.1%(8/195), the difference was significantly different (χ2=7.885, P =0.005). Conclusions To carry out the quality circle activity, can effectively reduce the perioperative health education defect rate and improve the quality of care and patient satisfaction, method is simple and easy to operate, it is worth clinical promotion.