品管圈活动在降低造口患者底盘渗漏发生率中的临床应用
Clinical Application of Quality Control Circle Activities in Reducing the Incidence of Chassis Leakage in Patients with Ostomy

DOI: 10.12677/NS.2022.111019, PP. 101-106

Keywords: 品管圈，直肠癌，肠造口，底盘渗漏
Quality Control Circle, Rectal Cancer, Enterostomy, Chassis Leakage

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：探讨品管圈活动在降低肠造口患者底盘渗漏发生率中应用的临床效果。方法：选取青岛某三甲医院2020年6月~10月行直肠癌造口术的95例病人为对照组，采用常规护理；2021年6月~9月的造口术后93例患者为试验组，在常规护理的基础上开展品管圈活动。比较两组患者造口底盘渗漏的发生率以及病人满意度情况。结果：通过开展品管圈活动，术后造口患者底盘渗漏的发生率(23%)低于对照组(42%)且护理满意度更高，差异有统计学意义(P < 0.05)。结论：通过开展品管圈活动，有效地降低了造口患者底盘渗漏的发生率，提高了病人的护理满意度，护理人员的综合能力也得到明显提高。
Objective: To investigate the clinical effect of quality control circle activity in reducing the incidence of chassis leakage in patients with enterostomy. Methods: Ninety-five patients who underwent colostomy for rectal cancer in Hospital of Qingdao from June to October 2020 were selected as the control group, using routine care. 93 patients after ostomy from June to September 2021 were the observation group, carrying out quality control circle activities on the basis of routine care. The incidence of stoma chassis leakage and patient satisfaction were compared between the two groups. Results: Through carrying out quality control circle activities, the incidence of chassis leakage in patients with postoperative ostomy (23%) was lower than that in the control group (42%) and nursing satisfaction is higher. The difference between the two groups was statistically significant (P < 0.05). Conclusion: By carrying out quality control circle activities, it reduces the incidence of chassis leakage and improves the satisfaction level of patients. The comprehensive ability of nurses has also been significantly improved.

References

[1]	王锡山. 中美结直肠癌流行病学特征对比及防控策略分析[J]. 中华结直肠疾病电子杂志, 2019, 8(1): 1-5.
[2]	郭天安, 谢丽, 赵江, 等. 中国结直肠癌1988-2009年发病率和死亡率趋势分析[J]. 中华胃肠外科杂志, 2018, 21(1): 8.
[3]	茆家定, 吴佩, 杨光, 等. 超低位直肠癌保肛术的临床应用价值[J]. 中华消化外科杂志, 2015, 14(6): 461-465.
[4]	Ferrara, F., Parini, D., Bondurri, A., et al. (2019) Italian Guidelines for the Surgical Management of En-teral Stomas in Adults. Techniques in Coloproctology, 23, 1037-1056. https://doi.org/10.1007/s10151-019-02099-3
[5]	张颜, 芦桂芝, 徐娜, 等. 肠造口周围皮肤常见问题护理现状[J]. 中国护理管理, 2014, 14(6): 602-604.
[6]	陈淑玲, 张秀英. 1例高龄消瘦患者回肠造口渗漏的护理[J]. 当代护士(中旬刊), 2020, 27(6): 166-167.
[7]	黄榕, 陈佩娟, 徐丽, 等. 品管圈活动在降低氯化钾致疼痛和静脉炎发生率中的应用[J]. 现代消化及介入诊疗, 2016, 21(1): 83-84.
[8]	余文静, 高兴莲, 张晓芳, 等. 品管圈活动降低直肠癌患者术中低体温发生率[J]. 护理学杂志, 2016, 31(10): 58-60.
[9]	杨海燕, 徐宇红, 龚华霞. 品管圈活动在神经内科护士专科培训中的应用效果评价[J]. 中国实用护理杂志, 2014, 30(1): 62-64.

Full-Text