品管圈在降低重度颅脑损伤患者肺部感染中的应用

目的探讨品管圈(QCC)活动在降低重度颅脑损伤患者肺部感染中的作用。方法选取某院神经外科住院治疗的重度颅脑损伤患者为研究对象,2016年2月—2017年3月入院的患者为干预前组,2017年4月开始实施QCC活动,2017年4月—2018年5月的患者为干预后组。比较两组患者肺部感染发病率、护理服务满意度及肺部感染患者抗菌药物的使用时间。结果共调查重度颅脑损伤患者224例,其中干预前后各112例。干预后组患者肺部感染发病率(21.42%)低于干预前组(47.32%),干预后组肺部感染患者的抗菌药物使用时间(6.45±1.65)d]短于干预前组(13.02±2.46)d],干预后组患者对护理服务的满意度(82.14%)高于干预前(63.39%),差异均有统计学意义(均P0.05)。结论应用QCC有助于降低重度颅脑损伤患者肺部感染发病率,对促进患者恢复及提高护理满意度具有良好的效果。

Application of quality control circle activities in reducing pulmonary infection in patients with severe craniocerebral injury

Objective To explore the effect of quality control circle (QCC) activities on reducing pulmonary infection in patients with severe craniocerebral injury. Methods Patients with severe craniocerebral injury and treated in the neurosurgery department of a hospital were selected for research, patients who were hospitalized from February 2016 to March 2017 were in pre-intervention group, QCC activities were initiated from April 2017, and patients who were hospitalized from April 2017 to May 2018 were in post-intervention group. Incidence of pulmonary infection and satisfaction for nursing service in patients as well as duration of antimicrobial use in patients with pulmonary infection were compared between two groups. Results A total of 224 patients with severe craniocerebral injury were investigated, each group were 112 cases. Incidence of pulmonary infection in post-intervention group was lower than pre-intervention group (21.42% vs 47.32%), duration of antimicrobial use in post-intervention group was shorter than pre-intervention group (6.45±1.65] d vs13.02±2.46] d), satisfaction for nursing service in post-intervention group was higher than pre-intervention group (82.14% vs 63.39%), difference were all statistically significant (all P<0.05). Conclusion Application of QCC is helpful to reduce the incidence of pulmonary infection in patients with severe craniocerebral injury, and has a good effect on promoting the recovery of patients and improving nursing satisfaction.