品管圈在降低神经内科鼻胃管非计划拔管中的应用

发布时间：2018-12-09 11:58

【摘要】：目的探讨品管圈模式管理在降低神经内科鼻胃管非计划拔管率的同时,能否降低护理成本,提高神经内科患者的护理质量.方法随机抽取昆明医科大学第四附属医院神经内科病区实施品管圈模式管理前(2015年7月至8月)留置鼻胃管患者50例为对照组,神经内科病区实施品管圈模式管理后(2015年12月至2016年2月)留置鼻胃管患者51例为实验组.实验组在对策拟定阶段,加入循证护理方法,拟定对策为系带鼻胃管固定方法.调查的内容包括:品管圈模式管理前后神经内科病区鼻胃管非计划拔管率、留置鼻胃管的工作时数、留置鼻胃管的护理成本.使用SPSS17.0统计软件对数据进行统计分析.结果 2组在年龄、性别、疾病种类上无统计学差异(P0.05).2组患者的留置鼻胃管非计划拔管率比较,非计划拔管率由62.00%下降到17.65%;留置鼻胃管耗材费用比较,每位留置鼻胃管患者耗材费用由(11.81±9.08)元/人下降至(7.30±2.53)元/人;留置鼻胃管护理用时比较,每位留置鼻胃管患者护理用时由(13.22±10.77)min/人下降到(7.48±2.56)min/人.差异均具有统计学意义(P0.05)结论应用品管圈管理降低了神经内科鼻胃管非计划拔管率,降低了护理成本,减轻了护士工作量,提高了护理质量.
[Abstract]:Objective to explore whether the quality control ring management can reduce the cost of nursing and improve the nursing quality of patients with neurology while reducing the rate of unplanned extubation of nasogastric tube in neurology department. Methods A total of 50 patients with nasogastric tube were randomly selected as the control group in the neurology department of the fourth affiliated Hospital of Kunming Medical University before the management of quality control ring model (July to August 2015). 51 patients with nasogastric tube were treated as experimental group (from December 2015 to February 2016) after the management of quality control ring in neurology department. In the study group, the method of evidence-based nursing was added in the stage of strategy formulation, and the strategy was fixed with nasogastric tube. The contents of the investigation included: the rate of unplanned extubation of nasogastric tube, the working hours of indwelling nasogastric tube, and the nursing cost of indwelling nasogastric tube before and after the management of quality control ring. Use the SPSS17.0 statistical software to carry on the statistical analysis to the data. Results there was no significant difference in age, sex and disease type between the two groups (P0.05). The rate of unplanned extubation of indwelling nasogastric tube in two groups was decreased from 62.00% to 17.65%. The cost of detaining nasogastric tube was decreased from (11.81 卤9.08) yuan / person to (7.30 卤2.53) yuan / person. The nursing time of the patients with nasogastric tube was decreased from (13.22 卤10.77) min/ to (7.48 卤2.56) min/. The differences were statistically significant (P0.05) conclusion the application of quality control ring management can reduce the rate of unplanned extubation of nasogastric tube in neurology department reduce the nursing cost lighten the workload of nurses and improve the quality of nursing.
【作者单位】：昆明医科大学第四附属医院护理教研室;
【基金】：全国高等医学教育学会护理教育分会教育科学基金资助项目(GJHLQZ160023)
【分类号】：R473.74

【相似文献】