品管圈对降低胃肠外科患者失禁性皮炎发生率的影响

发布时间：2018-06-08 18:34

本文选题：品管圈 + 失禁性皮炎　；参考：《中华全科医学》2016年12期

【摘要】：目的探讨品管圈手法在降低胃肠外科患者失禁性皮炎(incontinence associated dermatitis,IAD)发生率的应用效果,减少患者痛苦及住院时间,提高患者满意度。方法蚌埠医学院第一附属医院胃肠外科从2014年1—10月成立失禁性皮炎品管圈小组,确定以"降低胃肠外科患者失禁性皮炎发生率"为活动主题,通过制定查检表,1~3个月查检患者120例应用脑力激荡方法查检影响失禁性皮炎发生的因素,应用鱼骨图、柏拉图、柱状图等分析患者、家属、医护人员等因素对失禁性皮炎的影响,学习相关理论进行皮肤评估,改进护理工具,对护理流程进行培训,要因进行汇总,制定真因查检表查检真因后确定对策实施与检讨,最后制定标准化流程在全院进行推广。结果本小组解决了在实施过程中遇到的压疮高危,更换尿垫不及时,局部皮肤潮湿,护理评估不准确、不及时的问题的应用现状。结论品管圈活动在提高个人素质修养、解决问题的能力、个人责任心、积极性、自信心、团队凝聚力及与患者的沟通协调能力等方面都有所提升,使护理质量得到持续改进,其发展趋势是广泛应用品管圈这个平台来完善护理措施、细化工作流程、提高优质护理服务质量。
[Abstract]:Objective to investigate the effect of quality control loop manipulation in reducing the incidence of incontinence associated dermatosis (IAD) in patients with gastrointestinal surgery, and to reduce the pain and hospitalization time of patients, and to improve the satisfaction of patients. Methods the first affiliated Hospital of Bengbu Medical College established an incontinence dermatitis quality control group from January to October 2014. The theme was "reducing the incidence of incontinence dermatitis in patients with gastrointestinal surgery". 120 patients with incontinence dermatitis were examined by using brainstorming method. The patients and their families were analyzed by fish bone map, Plato, histogram and so on. The effect of medical and nursing personnel on incontinence dermatitis, learning relevant theories to evaluate skin, improve nursing tools, train nursing process, make a table of true cause check and check true cause, determine the implementation and review of countermeasures, Finally, the standardization process is popularized in the whole hospital. Results this group solved the problems of high risk of pressure sore, not timely replacement of urine pad, local wet skin, inaccurate nursing evaluation and untimely application. Conclusion quality control activities can improve personal quality, problem-solving ability, personal responsibility, enthusiasm, self-confidence, team cohesion and ability of communication and coordination with patients, so that the quality of nursing has been continuously improved. The development trend is to apply quality control circle as a platform to perfect nursing measures, refine work flow and improve quality nursing service quality.
【作者单位】：蚌埠医学院第一附属医院胃肠外科;
【分类号】：R473.6

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