摘要
目的探讨多学科合作的品管圈(quality control circle,QCC)活动在降低肺癌围术期肺栓塞发生率中的应用方法及效果。方法 2017年8月至2018年7月,同济大学附属上海市肺科医院胸外科主导成立了多学科合作的QCC小组,确定"降低肺癌围术期肺栓塞发生率"为活动主题,按照QCC理论进行了主题选定、活动计划、现状把握、要因分析、对策拟定与实施等活动,并对活动前后相关指标进行评估。结果 QCC活动实施后,肺癌患者围术期肺栓塞的发生率低于实施前,圈员的综合能力优于实施前,差异均有统计学意义(均P<0.05)。结论多学科合作的QCC活动有利于改进护理质量,降低肺癌患者围术期肺栓塞的发生率。
Objective To explore the role of multidisciplinary Quality Control Circle(QCC)activities in reducing the incidence of pulmonary embolism during the perioperative period of lung cancer.Methods From August 2017 to July 2018,our hospital established a multidisciplinary cooperative QCC team and carried out the activities one by one according to the QCC theory,including subject selection,activity planning,status grasping,factor analysis,strategy formulation and implementation.Results After applying the QCC activities,the incidence of pulmonary embolism among perioperative patients with lung cancer was lower than that before applying the activities.The comprehensive ability of QCC staffs was better than that before implementation,and the differences were statistically significant(all P<0.05).Conclusion The quality of multidisciplinary QCC activities can improve the quality of nursing care and effectively reduce the incidence of perioperative pulmonary embolism in patients with lung cancer.
作者
严晓霞
刘虹婷
陈蓓
丁君蓉
黎金铃
毛燕君
YAN Xiaoxia;LIU Hongting;CHEN Bei;DING Junrong;LIJinling;MAO Yanjun(Departmentof Thoracic Surgery,Shanghai Pulmonary Hospital Affiliated to Tongji University,Shanghai 200433,China;Department of Pulmonary Circulation,Shanghai Pulmonary Hospital Affiliated to Tongji University;Department of Nursing,Shanghai Pulmonary Hospital Affiliated to Tongji University)
出处
《解放军护理杂志》
CSCD
北大核心
2019年第3期82-86,共5页
Nursing Journal of Chinese People's Liberation Army
关键词
肺癌
品管圈
质量控制
肺栓塞
多学科合作
Lung cancer
QCC
quality control
pulmonary embolism
multidisciplinary cooperative