引用本文:丁文琴,张晶,谢玲涛,卞秋桂.[cn_title][J].[journal_cn_name],2018,[volume]([issue]):89-92.[点击复制]
Ding Wenqin,zhang jing,xie lingtao,bian qiugui.[en_title][J].[journal_en_name],2018,[volume]([issue]):89-92.[点击复制]
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品管圈活动在降低内镜下黏膜剥离术后尿潴留发生率中的作用
丁文琴,张晶,谢玲涛,卞秋桂
0
(江苏省人民医院)
摘要:
目的 探讨品管圈活动对于降低内镜下黏膜剥离术(endoscopy submucosal dissedtion,ESD)术后患者尿潴留发生率的作用和效果。方法 2016年10月起成立品管圈活动小组,以“降低ESD患者术后尿潴留发生率”为主题,对2016年10月至12月收治的64例(对照组)进行现状调查,分析发生尿潴留的原因,设定目标,制定对策,并实施于2017年2月至4月收治的64例(观察组)患者中,通过比较两组术后尿潴留发生率进行品管圈活动效果评价。结果 对照组64例中25例术后发生了尿潴留,发生率为39.1%;观察组64例中8例发生了尿潴留,发生率为12.5%,两组比较差异有统计学意义(P<0.05)。品管圈活动前后圈员的品管手法、工作积极性、责任心、解决问题能力、自信心、沟通协调能力、团队凝聚力及幸福感8项分值均有提高。结论 品管圈活动对降低ESD患者术后尿潴留发生率具有较好的效果,能够激发护理人员参与管理的意识,提高护士的工作积极性,使圈员在日常工作中形成“问题意识”,增强了独立思考和解决问题的能力,也增强了团队精神。
关键词:  品管圈  内镜下黏膜剥离术  尿潴留  术后并发症  护理  团队合作
DOI:
基金项目:
Effect of Quality Control Circle management on the incidence of postoperative urinary retention for the patients receiving endoscopic sub-mucosal dissection
Ding Wenqin,zhang jing,xie lingtao,bian qiugui
(he First Affiliated Hospital of Nanjing Medcial Universtiy;The First Affiliated Hospital of Nanjing Medcial Universtiy)
Abstract:
Objective To explore the effects of Quality Control Circle (QCC) on the incidence of postoperative urinary retention for the patients receiving endoscopic sub-mucosal dissection. Methods Since October 2016, the Activity Group had been established to investigate the occurrence status of 64 patients (control group) who were admitted to the hospital between October to December 2016The cause of urinary retention was analyzed with the therapeutic goal being setted. Based on the improving of nursing intervention, 64 patients (observation group) admitted from February to April 2017 were evaluated by comparing the incidence of postoperative urinary retention. Results Among 64 patients in the control group, urinary retention occurred in 25 patients compared with 8 in the observation group. There was a significant difference between the two groups (P<0.05). The quality control methods, work enthusiasm, responsibility, problem solving skills, self-confidence, communication and coordination skills, team cohesion, and happiness?degree had been improved through the performance of QCC.?Conclusions QCC activities have a positive effect on reducing the incidence of postoperative urinary retention in patients receiving ESD which can also stimulate the awareness of nursing staff involved in management and improve enthusiasm for nuring.
Key words:  Quality control circle  Endoscopic sub-mucosal dissection  Urinary retention  Postoperative complications  Nursing  Team work

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