品管圈活动在降低唇腭裂患儿术后喂养错误率中的效果观察(1)

http://www.100md.com 2018年6月15日 《中国美容医学》 2018年第12期

     [摘要]目的：探讨应用品管圈活动降低唇腭裂患儿术后错误喂养率的效果。方法：成立“MR圈”品管圈小组，依据品管圈的十大步骤，通过现状调查、目标设定、原因分析、真因验证、拟定对策及实施，分析影响唇腭裂患儿术后喂养错误的主要原因，制定出有针对性的对策，并不断完善和改进，比较实施品管圈前后患儿术后的错误喂养率。结果：实施品管圈后唇腭裂患儿术后喂养错误率从改善前的51.72%降至为改善后的17.65%。结论：品管圈活动有效降低了唇腭裂患儿术后喂养错误率，对提高手术的成功率、提升科室形象、提高工作效率、提高患者满意度起到了积极作用。

    [关键词]品管圈；唇腭裂；喂养方法；错误喂养率；护理工作

    [中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)12-0150-03

    Effect of Quality Control Circle Activities on Decreasing the Postoperative Feeding Error Rate in Children with Cleft Lip and Palatal
, 百拇医药
    HAN Liang，SHU Mao-guo，GUO Yuan，ZHANG Xue-qin，SU Xin，ZHANG Jun，MA Yan-mei

    (Department of Aesthetic Plastic and Maxillofacial Surgery，the First Affiliated Hospital of Xi’an Jiaotong University， Xi’an 710061，Shaanxi，China)

    Abstract： Objective To investigate the effect of applying quality control circle activities on decreasing the postoperative feeding error rate in children with cleft lip and palate. Methods With the establishment of “MR circle” quality control circle group， the main reasons that interfered the postoperative feeding error for children with cleft lip and palate were analyzed through the status survey， goal setting， reason analysis， true cause validation， measurement preparation and implementation according to the ten steps of quality control circle. Furthermore， targeted strategies were developed simultaneously， in combination with continuous improvement and modification. The postoperative feeding error rates for the children with cleft lip and palate before and after the application of quality control circle were compared. Results After the application of quality control circle， the postoperative feeding error rate for children with cleft lip and palate was decreased to 17.65% from 51.72%. Conclusion Quality control circle activities effectively decrease the postoperative feeding error rate for the children with cleft lip and palate and play a positive role in increasing the success rate of operation， promoting the image in the department， as well as improving work efficiency and patients’ satisfaction.
, 百拇医药
    Key words： quality control circle； cleft lip and palate； feeding method； wrong feeding rate； nursing work

    品管圈(Quality control cirvle，QCC)是指工作在同一现场的人，为解决问题，提高工作效率，自发组成小组，通过轻松愉快的现场管理方式，使员工自发地参与管理活动，在工作中获得满足感和成就感[1]。唇腭裂在国内发病率约为1/5 000，手术修复是目前唯一治疗手段，治疗的成功除手术技巧外，唇裂术后1周、术后2周内的喂养方式对术后恢复尤为重要，文献报道唇腭裂术后并发症能够达到15.6%，其中因喂养方式不当造成的继发畸形、术后出血、穿孔等并发症约占7.0%[2]。正确的术后喂养对疾病的恢复起着至关重要的作用。在笔者科室临床调查中发现，唇腭裂患儿术后喂养错误率较高，因此，笔者科室于2017年4月-2017年10月開展品管圈活动，取得满意效果。现报道如下。, 百拇医药(韩亮 舒茂国 郭媛 张雪琴 苏欣 张军 马艳梅)

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