开放期刊系统

QCC 管理工具在老年住院患者吞咽障碍管理中的运用研究

肖 日霞, 温 新颜, 黄 志红, 朱 小娇, 刘 小菊

摘要

目的 探讨 QCC 管理工具在老年住院患者吞咽障碍管理中的运用效果。方法 由科室医生护士成员共 11 名组成品管圈小组,以品管圈十大步骤选定主题,制定活动目标与计划,进行原因分析查找出真因。针对真因采取改进措施,比较开展品管圈前后老年住院患者吞咽障碍患者的误吸发生率。结果 实施品管圈后,误吸发生率从实施前的 22.22%下降到 6.06%,进步率为 70.9%,目标达标率为 163.02%。实施 QCC 活动后吞咽障碍老年住院患者误吸发生率有所下降,差异有统计学意义(P

关键词

QCC 管理;住院老年患者;吞咽障碍;误吸

全文:

PDF

参考

[1]汪四花,林芬,沈国霞.品质管理活动在病房用药安全质量管理中的应用[J].中华护理杂志,2011,46(1):60-61. [2]石敬.探讨老年脑卒中吞咽障碍患者的护理干预效果[J].中国保健营养,2013,2(4):756-757. [3]张幸国.医院品管圈(QCC)活动实践与技巧[M].杭州:杭州大学出版社,2010. [4]Wang LR,Wang Y,Lou Y,et al. The role of quality control circles in sustained improvement of medical quality[J]. Springer Plus,2013,2( 1) : 141 -145. [5]Warncckc T,Tcismann I,Mcimann W, et al. Assessment of aspiration risk in acute ischacmic stroke; evaluation of the simple swallowing provocation test[J]..J Ncurol Ncu- rosurg Psychiatry,2008,79(3):312-314. [6]Kcarncy PM, Whclton M,Reynolds K,ct al. Ulobal bur den of hypertension; analysis of worldwide data[J]..Lan- cct,2005,365(9455);217-223. [7]Yang J,Ghcng M,Cheng S, et al. Knowledge of stroke symptoms and treatment among community residents in Western Urban China[J].J Stroke Cerebrovasc Dis,2014,23(5):1216-1224. [8]梁少芬.脑卒中并发肺部感染的相关因素分析与预防性护理对策[J].检验医学与临床,2014,11(7):990-991. [9]Shigcmatsu T,Fujishima 1. Dysphagia and swallowing rehabilitation [J].Brain Ncrvc,2015,67(2):169-182. [10]Ricckcr A,Uastl R,Kiihnlcin P, ct al. Dysphagia due to unilateral infarction in the vascular territory of the anterior insula[J].Dysphagia, 2009 ,24(1):114-118. [11]Cola MU,Danicls SK,Corcy DM, et al. Relevance of sub cortical stroke in dysphagia[J].Stroke ,2010,4l(3):182- 186. [12]Sun H,Chen S,Jiang B,et al. Public knowledge of stroke in Chinese urban residents; a community questionnaire study[J].Ncurol Rcs,2011,33(5):536-540. [13]Martin-Harris B, Brodsky MB, Michcl Y , et al. Breathing and swallowing dynamics across the adult lifespan[J]. Arch Otolaryngol Hcad Ncck Surg, 2005,131(9):762-770. [14]Dozier TS, Brodsky MB, Michcl Y,et al. Coordination of swallowing and respiration in normal sequential cup swal- lows[J].Laryngoscopc,2006,116(8):1489-1493. [15]Martino R, Folcy N, Bhopal S, et al. Dysphagia after stroke; incidence, diagnosis, and pulmonary complications[J].Stroke, 2005,36(12);2756-2763. [16]Fhihara S,Fhihara T.Cough in the cldcrly;a novel stratefor preventing aspiration pneumonia[J].Pulm Pharmacol Thcr,2011,24(3):318-323. [17]MARTIN ⁃ HARRIS B, BRODSKY MB, MICHEL Y, et al. Breathing and swallowing dynamics across the adult lifespan[J]. Arch Otolaryngol Head Neck Surg,2005,131(9):762⁃770. [18]DOZIER TS,BRODSKY MB,MICHEL Y,et al. Coordination of swallowing and respiration in normal sequential cup swallows[J]. Laryngoscope,2006,116(8):1489⁃1493. [19]MOMOSAKI R, ABO M, KAKUDA WATARU, et al. Which cortical area is related to the development of dysphagia after stroke? A single photon emission computed tomography study using novel analytic methods[J]. Eur Neurol,2012,67(2):74⁃80. [20]卢佳美,曾小芬,黄梅冬,等.开展品管圈(QCC)活动提高患者对护理工作的满意度 [J].护理实践与研究, 2013,10(9):92-93.


(94 摘要 Views, 62 PDF Downloads)

Refbacks

  • 当前没有refback。