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目的探讨品管圈活动在降低妇科腹腔镜手术后尿潴留中的作用。方法 120例行妇科腹腔镜手术的患者,按时间顺序分为对照组和观察组,各60例。对照组采用常规方法对患者实施护理,观察组通过开展品管圈活动,运用品管圈护理模式对患者实施干预,分析对比两组患者的干预效果。结果观察组术后回病房后3、5、7 h自主排尿例数明显多于对照组,需要药物辅助及诱导排尿例数及需要插尿管排尿例数少于对照组;观察组尿潴留发生率为6.7%,低于对照组的23.3%,差异有统计学意义(P<0.05)。观察组患者对护士的满意度达到95.0%(57/60),对照组为76.7%(46/60),比较差异有统计学意义(P<0.05)。结论品管圈活动在降低妇科腹腔镜术后尿潴留中的效果明显,有效减少了尿潴留的发生,为患者减轻痛苦,提高了患者的满意度。
Objective To explore the role of quality control loop in reducing urinary retention after gynecological laparoscopic surgery. Methods A total of 120 patients undergoing gynecological laparoscopic surgery were divided into control group and observation group in chronological order, with 60 cases in each group. Patients in the control group were treated by routine methods. The observation group conducted interventions on quality control circle and quality control circle, and compared the intervention effects between the two groups. Results The number of spontaneous micturition in the observation group at 3, 5 and 7 h after operation was significantly higher than that in the control group. The number of cases requiring auxiliary drugs and induction of urination and the number of cases needing urinary catheter urination were less than those in the control group. Urinary retention occurred in the observation group The rate was 6.7%, which was lower than that of the control group (23.3%), the difference was statistically significant (P <0.05). The satisfaction rate of nurses in the observation group was 95.0% (57/60) and that of the control group was 76.7% (46/60), the difference was statistically significant (P <0.05). Conclusions Quality control circle activities have obvious effect in reducing urinary retention after gynecological laparoscopic operation, effectively reducing the occurrence of urinary retention, relieving pain and improving patient satisfaction.