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目的探讨应用品管圈方法改进留置胃管并降低非计划性拔管率的护理方法。方法成立品管圈,确定“降低留置胃管患者非计划性拔管率”为主题,通过现状调查、分析原因、拟定对策并实施,比较QCC活动前后2组患者非计划性拔管率。结果 QCC活动后患者非计划性拔管率2.430%低于活动前10.7%,目标达成率118.14%,进步率67.9%,圈员技能等8个方面得到提高。结论 QCC活动能有效降低留置胃管患者非计划性拔管率,提高护理管理执行力和患者的依从性,值得推广。
Objective To explore the nursing method of using product ring method to improve indwelling gastric tube and reduce unplanned extubation rate. Methods Establish the quality control circle and determine the theme of “reducing the unplanned extubation rate in patients with gastric tube indwelling”, through the investigation of current situation, analyze the reasons, formulate countermeasures and implement it, and compare the unplanned extubation rate of the two groups before and after QCC activity . Results The rate of unplanned extubation after QCC was 2.430% lower than that of the pre-activity 10.7%, the target reaching rate was 118.14%, the progress rate was 67.9% and the circle skill was improved in 8 aspects. Conclusion QCC activities can effectively reduce the unplanned extubation rate in patients with gastric tube indwelling, improve the implementation of nursing management and patient compliance, it is worth promoting.