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目的:探讨品管圈活动在提高神经内科留置胃管患者口腔清洁度的应用效果。方法:通过2014年4月开始组圈活动,调查广州市第一人民医院留置胃管患者口腔清洁情况,并运用品管圈活动手法进行分析及制定对策并实施,对比活动前及活动后患者口腔护理情况,并观察品管圈活动在临床护理中的应用效果。结果:应用品管圈活动后神经内科留置胃管患者重度口腔缺陷发生率0%,较活动前2.4%有降低;轻度口腔缺陷发生率41.0%,较活动前83.3%明显降低,差异具有统计学意义(P<0.01),同时节约了口腔护理成本。结论:开展品管圈活动不仅提高神经内科留置胃管患者口腔清洁度,同时还提高圈员的专业知识和质量管理能力。
Objective: To investigate the effect of quality control circle activities on improving oral cleanliness in patients with neurological internal medicine. Methods: Through the beginning of group circle activity in April 2014, the oral cavity cleaning in patients with gastric tube in Guangzhou First People’s Hospital was investigated and analyzed by using the method of quality control circle and the countermeasures were formulated and implemented. Before and after the activity, Nursing situation, and observe the quality control loop activities in clinical nursing application effect. Results: The incidence of severe oral defects in neurosurgical patients with gastric tube placement was 0%, which was 2.4% lower than that before exercise. The incidence of mild oral defects was 41.0%, which was significantly lower than that before exercise, the difference was statistically significant Significance (P <0.01), while saving the cost of oral care. CONCLUSIONS: Conducting QA activities not only improves oral cleanliness in patients with neurological internalvation, but also increases the expertise and quality management of circle members.