作者：胡丽君1，熊伟昕1，伍淑文2

单位：1.中山大学附属第一医院 胃肠外科中心，广东 广州 510080； 2.中山大学附属第一医院 护理部，广东 广州 510080

Authors:  HU Lijun1, XIONG Weixin1, WU Shuwen2

Unit:  1.Center of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China;  2.Department of Nurse, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong, China

摘要：

目的  探讨品管圈在胃肠外科快速康复病人护理质量持续改进中的作用。方法  成立品管圈,对病区快速康复护理质量进行持续改进,统计改进措施实施前后的护理质量,以患者饮食情况知晓率、饮食执行正确率、活动情况知晓率、活动情况执行正确率、管道固定合格率、疼痛评分知晓率为评价指标,采用χ2检验进行比较。结果  在改进措施实施后所有评估项目都得到显著改善(P<0.05),其中患者饮食知晓率、活动情况知晓率、管道固定合格率、疼痛评分知晓率在改善后均提高到100%。结论  品管圈可持续提高我区外科快速康复病人护理质量。

关键词： 品管圈; 快速康复; 护理质量; 持续改进

Abstract：

Objective  To explore the role of Quality Control Circle in the continuous improvement of nursing quality in patients undergoing Fast-track Surgery of gastrointestinal surgery. Methods  Setting up the Quality Control Circle, in order to improve the nursing quality of patients undergoing Fast-track Surgery continuously. After the introduction of improved measures, compares the awareness rate of dietary, the correct execution rate of diet, the awareness rate of activity, the correct execution rate of activity, the accuracy of pipe fixation and the awareness rate of pain score, by Chi-square test. Results  After the introduction of improved measures, all evaluation indicators significantly improved (P＜0.05), with the awareness rate of dietary, the awareness rate of activity, the accuracy of pipe fixation and the awareness rate of pain score raised to 100%. Conclusions  Quality Control Circle for patients undergoing Fast-track Surgery of gastrointestinal surgery can continuously improve the nursing quality.

Key Words:  Quality Control Circle; Fast-track Surgery; Nursing quality; Continuous improvement