摘要
目的探讨品管圈活动对危重症人工气道留置患者口腔护理质量的影响。方法选取危重症人工气道留置患者228例,将其分为对照组和实验组。对照组(112例)按常规进行口腔护理,实验组(116例)在对照组基础上开展品管圈活动。比较2组护理效果。结果实验组口腔护理合格率为98.00%高于对照组的87.01%(χ~2=373.390,P<0.001),呼吸机相关性肺炎(ventilator associated pneumonia,VAP)发生率与死亡率均明显低于对照组(χ~2=15.504,P<0.001;χ~2=12.365,P<0.001),护理满意率明显高于对照组(χ~2=8.294,P=0.004),人工气道留置时间与机械通气时间均明显短于对照组(t=12.921,P<0.001;t=11.192,P<0.001)。结论开展品管圈活动有助于显著改善危重症人工气道留置患者口腔护理质量,降低VAP发生风险。
Objective To explore the effect of activities of quality control circle on the oral care of critically ill patients with artificial airways. Methods A total of 228 critically ill patients with artificial airways were selected and randomly divided into an experimental gro up （n = 116） and a control group （n = 112）. Both groups were given conventional oral nursing, while activities of quality control circle were additionally introduced into the experimental group. The nursing effett was compared between the two groups. Results The oral nursing pass rate of the experimental group was was 98. 0 0%,significantly higher than that of the control group（ 87. 0 1%） . The incidence of the ventilator associated pneumonia （VAP） and mortality of the experimental group were significantly lower than those in the control group,while the nursing satisfaction rate of the former was significantly higher than the latter （χ^2=8.294,P=0.004）.Artificial airway indwelling time and mechanical ventilation time of the experimental group were significantly shorter than those in the control group （t = 1 2 . 921, P 〈 0 . 001 ; t = 11. 192, P 〈0. 001）. Conclusion The quality control circle nursing can significantly improve oral nursing quality and lower thecritically ill patients.
出处
《中国临床护理》
2017年第1期18-20,共3页
Chinese Clinical Nursing
关键词
品管圈
危重患者
口腔护理
呼吸机相关性肺炎
Quality control circle nursing
Critically ill patients
Oral care
Ventilator associated pneumonia
