品管圈活动在预防心血管疾病患者皮下注射用药不良反应中的应用

目的分析品管圈活动对心血管疾病患者皮下注射用药不良反应预防的影响。方法在2018年11月—2020年5月南阳市中心医院全科医学科的3 059例心血管疾病住院患者中,以盲抽法选取76例患者作为本研究对象,并按随机数字表法分为品管圈组与常规组,各38例。常规组采用常规护理,品管圈组在常规组基础上采用品管圈活动。对比两组健康知识知晓率、不良反应发生率、PZB服务质量量表(SERVQUAL)评分和干预前后视觉模拟评分法(VAS)评分。结果品管圈组健康知识知晓率94.74%(36/38)较常规组76.32%(29/38)高,差异有统计学意义(χ^(2)=5.208,P=0.023);干预后,品管圈组VAS评分较常规组低,差异有统计学意义(1.46±0.26 vs 2.03±0.31,t=8.684,P<0.001);品管圈组不良反应发生率5.26%(2/38)较常规组23.68%(9/38)低,差异有统计学意义(χ^(2)=5.208,P=0.023);品管圈组SERVQUAL评分较常规组高,差异有统计学意义(23.58±0.69 vs 20.90±0.85,t=15.090,P<0.001)。结论品管圈活动应用于心血管疾病患者皮下注射用药中,可提高健康知识知晓度,降低皮下注射用药不良反应,减轻疼痛度,且护理质量较高。

Effect of quality control circle activities on the prevention of adverse drug reactions by subcutaneous injection in patients with cardiovascular disease

Objective To analyze the effect of quality control circle activities on the prevention of adverse drug reactions by subcutaneous injection in patients with cardiovascular disease.Methods From November 2018 to May 2020,among the 3 059 inpatients with cardiovascular disease in the department of general medicine of Nanyang Central Hospital,76 patients were selected by blind sampling method as the research objects,and they were divided into the quality control circle group and the conventional group according to random number table method,with 38 patients in each group,with 38 patients in each group.The conventional group adopted routine nursing,and the quality control circle group adopted the quality control circle activity on the basis of the conventional group.The health knowledge awareness rate,adverse reaction rate,PZB service quality scale(SERVQUAL) score and visual analogue scale(VAS) score before and after intervention were compared between the two groups.Results The awareness rate of health knowledge in the quality control circle group94.74%(36/3 8) was higher than that in the conventional group 76.32%(29/38),and the differences were statistically significant(χ²=5.208,P=0.023);After the intervention,the VAS score of the quality control circle group was lower than that of conventional group,and the differences were statistically significant(1.46±0.26 vs 2.03±0.3 l,t=8.684,P<0.001);The incidence of adverse reactions in the quality control circle group 5.26%(2/38) was lower than that in the conventional group 23.68%(9/38),and the difference was statistically significant(χ²=5.208,P=0.023);The SERVQUAL score of the quality control circle group group was higher than that of the conventional group,and the differences were statistically significant(23.58±0.69 vs 20.90±0.85,t=15.090,P<0.001).Conclusion The application of quality control circle activity in subcutaneous injection medication for patients with cardiovascular diseases can improve the awareness of health knowledge,reduce the adverse reactions of subcutaneous injection medication,reduce the degree of pain,and have a higher quality of care.