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降低玻璃体切割联合硅油填充术后体位缺陷率的持续改进
作者姓名:缪珊珊  孙伟菊  刘芳  叶春凤
作者单位:湖北省恩施州中心医院眼科中心
摘    要:目的 研究品管圈降低玻璃体切割联合硅油填充术后体位缺陷的效果分析及应用。方法 以2016年11月11日至12月2日收治的48例玻璃体切割联合硅油填充术患者设为对照组(实施品管圈管理前),以2017年1月11日至2017年4月20日收治的168例玻璃体切割联合硅油填充术患者为研究组(实施品管圈管理),比较品管圈活动前后玻璃体切割联合硅油填充术患者体位缺陷率的改变。结果对照组48例患者术后平均住院天数14天,其中30例体位不合格,缺陷率占62.50%;研究组168例患者平均住院天数8天,仅有4例体位不合格,缺陷率降为2.38%,两组比较差异具有统计学意义(P<0.05)。结论 品管圈活动对降低玻璃体切割联合硅油填充术后体位缺陷率效果明显。同时,护理人员学会并能够运用各种品管方法,增强了解决问题的意识和能力,提高了患者舒适性和促进患者更快康复。

关 键 词:玻璃切割术  体位缺陷  品管圈  护理
收稿时间:2018/5/28 0:00:00
修稿时间:2018/9/7 0:00:00

Application of quality control circle in reducing position defect rate after vitrectomy combined with silicone oil tamponade
Authors:Miao Shanshan  Sun Weiju  Liu Fang and Ye Chunfeng
Institution:The Central Hospital of Enshi Autonomous Prefecture
Abstract:Objective To discuss the effects of QCC in reducing position defect after vitrectomy combined with silicone oil tamponade. Methods From 11 November to 2 December 2016, 48 patients who received vitrectomy combined with silicone oil tamponade were treated as control group (before the implementation of QCC management). From 11 January to 20 April 2017, 168 cases received vitrectomy combined with silicone oil tamponade were treated as research group (implementation of QCC management). The position defect rates between the two groups were compared. Results The average hospitalization days of the control group were 14 days, of which 30 cases were unqualified with the defect rate being at 62.5%. The average hospitalization days of the research group were 8 days, and only 4 cases were unqualified with the defect rate being at 2.38%. The difference between the two groups was statistically significant(P<0.05). Conclusions The effect of QCC activities on position defect rates reducing after vitrectomy combined with silicone oil tamponade was significant. At the same time, the learning of quality control methods promotes the ability of problems solution and improves the comfort of patients.
Keywords:Vitrectomy    Position defect    QCC    Nursing
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