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目的探讨品管圈活动在降低重症监护室(ICU)患者口腔干燥症发生率中的应用与效果。方法成立品管圈,确定以“降低ICU患者口腔干燥症发生率”为活动主题,按照品管圈活动步骤开展活动,分析导致患者口腔干燥症发生的护理原因及护理中存在的缺陷,针对原因拟定改进对策并实施,利用小喷瓶喷雾式湿化患者口腔,比较品管圈活动前后口腔舒适率及口腔护理满意度。结果实施品管圈活动后,ICU患者口腔干燥症发生率由活动前95.07%降至活动后44.88%,患者满意度由活动前的82.00%升至活动后96.00%,患者口腔舒适率由原68.00%提升至94.00%,活动前后比较差异有统计学意义(P<0.01)。结论开展品管圈活动可降低患者口腔干燥症发生率,提升患者的口腔舒适率及口腔护理满意度。
Objective To explore the application and effect of quality control loop in reducing the incidence of xerostomia in intensive care unit (ICU) patients. Methods The quality control circle was established to determine the theme of “reducing the incidence of xerophthalmia in ICU patients” and to conduct activities in accordance with the activities of quality control circle. The causes of nursing and the defects in nursing of patients with xerostomia were analyzed. For the reasons for the development of countermeasures and implementation of improvement, the use of a small bottle spray humidification of patients oral cavity, compared before and after the quality control ring oral cavity comfort rate and oral care satisfaction. Results The incidence of oral xerostoma in ICU patients decreased from 95.07% before the activity to 44.88% after the implementation of QOL. The degree of patient satisfaction increased from 82.00% before the activity to 96.00% after the activity. The oral comfort rate of the patients was 68.00 % To 94.00%. There was significant difference before and after the activity (P <0.01). Conclusion Conducting QA activities can reduce the incidence of xerostoma and improve the oral comfort rate and oral care satisfaction of patients.