论文部分内容阅读
目的:观察品管圈活动是否能降低植入永久性心脏起搏器术后电极脱位的发生率。方法:对植入永久性心脏起搏器的65例患者进行质量控制,通过建立品管圈活动小组,调查护理人员对植入永久起搏器术中、术后的护理知识掌握情况,针对导致电极脱位的可能性进行原因分析并采取对策,对护理人员进行培训,强化医护患的沟通,对患者进行健康宣教等。统计品管圈活动活动前后的电极脱位的发生率、护理人员及患者的知识掌握率。结果:65例植入永久起搏器的患者中,2例出现电极脱位,发生率为3.1%,与品管圈活动前相比,发生率下降,目标达成率为95.7%,进步率为65.1%。采用品管圈活动后护理人员的知识掌握率由原来的32.5%增加至85.0%(P<0.05);患者的知识掌握率由原来的10.8%增加至95.0%(P<0.05)。结论:对植入永久心脏起搏器患者运用质量控制,可有效降低术后电极脱位的发生率,且能提升护理人员的专科护理知识和患者疾病知识的掌握程度。
Objective: To observe whether the quality control ring activity can reduce the incidence of electrode dislocation after implantation of permanent pacemaker. Methods: Sixty-five patients with permanent cardiac pacemaker were controlled by quality control. Through the establishment of quality control circle activity group, the nursing staff were investigated on the nursing of postoperative permanent pacemaker operation and postoperative nursing knowledge, The possibility of electrode dislocation analysis and take countermeasures to nurse training, strengthen health care communication, health education for patients and so on. The incidence of electrode dislocation before and after the activities of the statistical product tube and the knowledge of nurses and patients. Results: Among the 65 patients with permanent pacemaker, the incidence of electrode dislocation in 2 patients was 3.1%, which was lower than that before QOL, with the goal of 95.7% and the improvement rate of 65.1 %. The knowledge acquisition rate of nursing staff increased from 32.5% to 85.0% (P <0.05) after using QC activities. The rate of knowledge acquisition increased from 10.8% to 95.0% (P <0.05). Conclusion: The quality control of patients with permanent cardiac pacemaker implantation can effectively reduce the incidence of postoperative electrode dislocation, and can enhance nursing staff’s knowledge of specialist nursing and patient disease knowledge mastery.