品管圈活动对降低痔疮术后尿潴留发生率的价值.pdf

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1、西部医学2014年9月第26卷第9期MedJWestChina，September2014，Vo1．26，No．9·1239·品管圈活动对降低痔疮术后尿潴留发生率的价值*赵君健，方启帆，方健，林中超，任春碧，张璇，蒙娟(南充市中心医院中西医结合肛肠科·川北医学院第二临床医学院，四川南充637000)【摘要】目的探讨开展品管圈活动在降低痔疮术后尿潴留发生率中的价值。方法成立品管圈活动小组，以“开展品管圈活动在降低痔疮术后尿潴留发生率中的作用”为活动主题，根据入院顺序将144例在腰腧穴麻醉下行痔疮手术的患者随机分为观察组和对照组各7

2、2例，观察组采取品管圈管理方法，通过调查所有患者，分析发生尿潴留的原因，制定出相适宜的对策，并组织实施；对照组给予常规护理。比较两组患者痔疮术后尿滁留发生率、患者满意度、医护人员对开展品管圈活动及护理工作满意度的效果。结果观察组痔疮术后尿潴留发生率为13．8，患者满意度97．2，医护人员对开展品管圈活动满意度为96．4，对照组分别为31．9、86．1和71．4，组间差异均有统计学意义(均P<0．05)。结论开展品管圈活动能降低痔疮术后尿潴留发生率，提高患者、医生及护士对护理工作的满意度，增强医护人员解决问题的能力，促进护理服务品

3、质和团队精神的提高，值得临床推广应用。【关键词】品管圈活动；痔疮术后；尿潴留【中图分类号】R197．323；R657．18【文献标志码】Adoi：10．3969／j．issn．1672—3511．2014．09．043ValueofqualitycontrolcircleonincidenceofpostoperativeurinaryretentionZHAOJun-Jian，FangQi-fan，FangJian，etal(DepartmentofHemorrhoidsandFistula，NanchongCentralHo

4、spital，TheSecondClinicalMedicalCollegeofNorthSichuanMedicalCollege，Nanchong637000，Sichuan)[Abstract]ObjectiveTostudythevalueofqualitycontrolcircleonincidenceofpostoperativeurinaryretentionMethodsThequalitycontrolcirclegroupwassetuptoactaccordingthesubjectsof‘Roleofqu

5、alitycontrolcircleonpostoperativeurinaryretention’．144patientswithlumbaranesthesiadownlinkhemorrhoidssurgeryofacupointswererandomlydividedintoobservationgroupandcontrolgroup．TheobservationgroupwastreatedwithQCcirclemanage—menttechnique．Throughtheinvestigationandallof

6、thepatients，thecausesofurinaryretentionwereanalyzedandsuit—ablecountermeasuresweretaken．Thecontrolgroupwastreatedwithconventionalnursingmeasures．Theincidenceofpostoperativeurinaryretentionanddegreeofsatisfactionwereobserved．ResultsTheincidenceofpostoperativeurinaryre

7、tentionofobservationgroupandpatientssatisfactionwere13．8and97．2．Thestaffsatisfactionofcircleactivitieswas96．4％．Theincidenceofpostoperativeurinaryretentionandpatientsatisfactionofcontrolgroupwere31．9and86．1％Themedicalstaffsatisfactionofnursingworkwas71．4．ConclusionToc

8、arryoutqualitycontrolcircleactivi—tiescanreducetheincidenceofhemorrhoidspostoperativeurinaryretention，increasethepatients，doctorsan