品管圈活动在肠造口术前造口定位中的应用

目的探索品管圈(quality control circle,QCC)活动在肠造口术前造口定位中的作用。方法 2016年3-8月,第二军医大学长海医院肛肠外科病区成立QCC小组,按照QCC理论进行主题选定、活动计划、现状把握、要因分析、对策拟定与实施等共10个步骤逐项进行活动。结果肠造口术前造口定位准确率由QCC活动实施前的61.90%上升至实施后的95.65%(P0.05);造口相关并发症由实施前的45.24%下降至实施后的28.26%(P0.05);通过QCC活动,圈员在QCC的步骤运用、团队精神、专业能力、沟通协调、信心提升和责任荣誉等6个方面的能力均有所提高,差异均有统计学意义(均P0.05)。结论 QCC活动能够提高肠造口术前造口定位的准确率,有效降低肠造口并发症的发生率。

Application of Quality Control Circle Activity in the Preoperative Localization of Colostomy

Objective To explore the role of quality control circle (QCC) in the localization of stoma before enterostomy.Methods Established QCC team,in accordance with the QCC theme selected,planned activities,status of grasping the theory,analysis,strategy development and implementation,a total of 10 step-byactivity.Results The accuracy rate of intestinal stoma location was increased from 61.90％ to 95.65％(P<0.05).After the implementation of the relevant complication related to the implementation of 45.24％down to about 28.26％ (P<0.05).All the members of the QCC in the use of skills,team spirit,professional knowledge,communication and coordination,confidence and responsibility for the activities of the 6 aspects of the ability were improved (all P<0.05).Conclusion The quality control circle can improve the accuracy of preoperative enterostomy stoma position and reduce the rate of colostomy complications.