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品管圈在提升低于3岁住院患儿雾化吸入依从率中的应用

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目的 探讨品管圈(Quality Control Circle,QCC)管理方法在提高住院患儿雾化吸入依从率的应用价值.方法 济宁市第一人民医院儿科雾化吸入 QCC管理实施时间自 2020 年 6 月开始,选取 QCC实施前(2020 年 4 月至 2020 年 5 月)0~3 岁住院进行雾化吸入治疗的患儿 454 人以及QCC实施后(2020 年 11 月至 12月)0~3 岁住院进行雾化吸入治疗的患儿 496 人进行研究,比较两组住院患儿在雾化吸入治疗中的哭闹发生率、按时雾化率、家属拒绝情况、雾化中断情况,以及总体雾化依从率.结果 在QCC实施后,0~3 岁住院患儿雾化吸入哭闹发生率下降(23.33%vs 5.04%)、未按时雾化率下降(16.08%vs 2.82%),总体雾化依从率提升(56.00%vs 88.90%),差异有统计学意义(P<0.001);QCC 实施后患儿家属满意度评分提升(t=5.95,P<0.001).结论 实施QCC能够提升低于 3 岁住院患儿雾化吸入依从率,提升患者家属满意度.
Quality control circle practice in improving atomization inhalation compliance rate in hospitalized children under 3 years old
Objective To investigate the application value of Quality Control Circle(QCC)management method in improving the compliance rate of hospitalized children with atomization inhalation.Methods The administration of pediatric aerosol inhalation QCC in Jining First People's Hospital started from June 2020.A total of 454 children aged 0~3 years who were hospitalized for aerosol inhalation before the implementation of QCC(April 2020 to May 2020)and 496 children aged 0~3 years who were hospitalized for aerosol inhalation after the implementation of QCC(November 2020 to December 2020)were selected for this study.The incidence of crying,timely atomization rate,family members'refusal,atomization interruption,and the overall atomization compliance rate of hospitalized children in the two groups were compared.Results After the implementation of QCC,the incidence of inhalation crying in hospitalized children aged 0-3 years decreased(23.33%vs 5.04%),the rate of off-schedule atomization decreases(16.08%vs 2.82%),and the overall atomization compliance rate increased(56.0%vs 88.9%),with statistically significant differences(P<0.001).The satisfaction scores of family members of children with QCC were improved after implementation(t=5.95,P<0.001).Conclusion QCC can improve the atomization inhalation compliance rate of hospitalized children under 3 years old,and improve patient satisfaction.

Quality control circleAtomization inhalationCompliance rate

孔瑞芳、施倩、毕慧云、刘琳琳、赵冉

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济宁市第一人民医院儿科,济宁 272011

济宁市卫生学校临床护理教研室,济宁 272000

品管圈 雾化吸入 依从率

2024

济宁医学院学报
济宁医学院

济宁医学院学报

影响因子:0.513
ISSN:1000-9760
年,卷(期):2024.47(5)