应用品管圈提升呼吸机相关肺炎控制措施依从性
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谭玉婷

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R563.1

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Application of quality control circle for improving compliance to ventilatorassociated pneumonia control measures
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    摘要:

    目的探讨品管圈管理法提升呼吸机相关肺炎(VAP)控制措施依从性的效果。方法采用便利抽样法分别抽取2014年1—12月(对照组)和2015年1—12月(试验组)入住某院重症监护病房(ICU)并行机械通气的患者各100例,试验组采取品管圈管理法,比较实施品管圈前后ICU医务人员VAP控制措施和手卫生依从情况。结果试验组和对照组医务人员各项VAP控制措施依从率比较,差异均有统计学意义(均P<0.001);对照组所有措施全部执行的依从率为32.00%,试验组为74.00%,差异有统计学意义(P<0.001)。对照组医务人员手卫生依从率为29.14%,合格率为42.50%,患者VAP发生率为10.00%;试验组分别为83.64%、82.50%、2.00%,差异均有统计学意义(均P<0.001)。 结论品管圈管理法在提高医务人员VAP集束化预防策略和手卫生依从性方面效果显著,可以有效降低VAP的发生率。

    Abstract:

    ObjectiveTo evaluate the effect of quality control circle(QCC) on improving compliance to ventilatorassociated pneumonia(VAP) control measures. Methods100 patients who were admitted to an intensive care unit(ICU) and with mechanical ventilation in JanuaryDecember 2014 (control group) and 100 patients with mechanical ventilation in JanuaryDecember 2015 (trial group) were selected with convenient sampling method. Trial group implemented QCC management method,compliance to VAP control measures and hand hygiene (HH) among HCWs before and after implementing QCC was compared respectively. ResultsDifference in compliance to each VAP control measure between HCWs in trial group and control group was significant(all P<0.001);compliance rate to all control measures in control group and trial group were 32.00% and 74.00% respectively(P<0.001). Compliance rate and qualified rate of HH among HCWs in control group were 29.14% and 42.50% respectively, trial group were 83.64% and 82.50% respectively, incidence of VAP in patients in control group and trial group were 10.00% and 2.00% respectively ( all P<0.001). ConclusionQCC management has remarkable effect on improving bundle prevention strategy of VAP and HH compliance of HCWs, and can effectively reduce the incidence of VAP.

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黄淑梅,谭玉婷,张娟娟,等.应用品管圈提升呼吸机相关肺炎控制措施依从性[J]. 中国感染控制杂志,2016,15(11):868-871. DOI:10.3969/j. issn.1671-9638.2016.11.016.
HUANG Shumei, TAN Yuting, ZHANG Juanjuan, et al. Application of quality control circle for improving compliance to ventilatorassociated pneumonia control measures[J]. Chin J Infect Control, 2016,15(11):868-871. DOI:10.3969/j. issn.1671-9638.2016.11.016.

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  • 收稿日期:2016-01-15
  • 最后修改日期:2016-03-23
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  • 在线发布日期: 2016-11-30
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