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目的探讨品管圈活动在提高呼吸内科高危跌倒/坠床患者防范措施执行率中的应用效果。方法选取2016年4月~6月呼吸内科高危跌倒/坠床患者460名作为对照组,选取2016年7月~9月呼吸内科高危跌倒/坠床患者466名作为实验组。成立品管圈活动小组,选定“提高呼吸内科高危跌倒/坠床患者防范措施的执行率”作为活动主题,对病区高危跌倒/坠床患者防范措施执行现状进行分析,找出执行率低的因素,制定相应的措施并组织实施,比较品管圈活动前后呼吸内科病区高危跌倒/坠床患者防范措施执行率情况。结果实施品管圈后,执行率从68.6%提高到84.0%,差异有统计学意义(χ2=16.7,P<0.05)。结论品管圈活动提高了呼吸内科高危患者跌倒/坠床防范措施的执行率,降低跌倒/坠床的发生率,提高了呼吸内科病区护理质量,并且培养了科室人员解决问题的能力,增加了团队凝聚力。
Objective To explore the application effect of quality control circle activities in improving the implementation rate of precautionary measures in patients with high risk of fall / falling bed in respiratory medicine. Methods A total of 460 patients at high risk of fall / fall from April 2016 to June 2016 in our hospital were selected as the control group. A total of 466 patients at high risk of fall / fall from July to September 2016 were selected as the experimental group. Set up a quality control circle activity group to select “Improve the implementation rate of high-risk fall / fall patient prevention measures in respiratory medicine” as the theme of activity, analyze the status quo of implementation of precautionary measures against high-risk fall / fall patients in ward, Rate of low factors to develop appropriate measures and organize the implementation of the comparison before and after the quality control ring respiratory disease high risk of falling / bed fall prevention measures implementation rate. Results After the implementation of quality control circle, the implementation rate increased from 68.6% to 84.0%, the difference was statistically significant (χ2 = 16.7, P <0.05). Conclusions Quality control loop activities have increased the rate of fall / fall precautionary measures in high-risk patients at respiratory medicine, reduced the incidence of falls / falls, improved the quality of care in respiratory medicine wards, and developed the ability of department staff to solve problems and increase Team cohesion.