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目的为控制手术室院内感染,并提高护士技能,对护士进行一系列品管圈(QCC)活动,并对比活动实施前后的应用效果。方法选取义乌市中心医院手术室32名护士为研究对象,主要以明确训练目标、成立QCC活动小组及研究科室患者情况等几个方面对手术室护士进行一系列的QCC活动的模拟训练,并采用SPSS 14.0统计学软件对训练前后各应用效果进行对比,具体包括手术室感染率与护士技能方面:以考核的方式对比训练前后护士的沟通能力、理论知识、专科操作技能以及护理临床实际工作能力;以调查问卷的形式对患者护理满意度进行比较。结果经QCC活动训练后患者医院感染率(3.50%)低于训练前(13.00%),差异有统计学意义(P<0.05);训练后患者满意度(94.00%)明显优于训练前(76.00%),差异有统计学意义(P<0.05);经QCC活动训练后手术室护士的沟通能力、理论知识、操作技能以及护理临床实际工作能力均明显优于训练前,差异有统计学意义(P<0.05)。结论 QCC活动的实施有效控制手术室院内感染发生的情况,还提高了手术室护士与患者的沟通能力,密切了护患关系,提高了手术患者满意度,在训练过程中,护士的理论知识、专科操作技能以及护理临床实际工作能力都有了明显的提升,值得临床广泛推广和应用。
The purpose is to control nosocomial infections in operating theaters and to improve nurses’ skills, to conduct a series of QCC activities for nurses and to compare the effects of the activities before and after the implementation of the activities. Methods A total of 32 nurses in the operation room of Yiwu Central Hospital were selected as the research objects. A series of QCC activities were simulated and trained for the QCC activities by defining the training objectives, establishing the QCC activity group and the patients in the research departments. SPSS 14.0 statistical software was used to compare the effect of each application before and after training, including operating room infection rate and nurse skills: comparison of nurses’ communication skills, theoretical knowledge, specialist skills and nursing clinical practical ability before and after training by means of examination; Patient care satisfaction is compared in the form of a questionnaire. Results The rate of nosocomial infection (3.50%) after QCC training was lower than that before training (13.00%), the difference was statistically significant (P <0.05). The satisfaction of patients after training (94.00%) was significantly better than that before training %), The difference was statistically significant (P <0.05). The nurses’ communicative ability, theoretical knowledge, operational skills and practical clinical nursing skills after QCC training were significantly better than before training, the difference was statistically significant (P < P <0.05). Conclusion The implementation of QCC activities can effectively control the occurrence of nosocomial infections in the operating room, improve the communication skills between operating room nurses and patients, closely monitor the nurse-patient relationship and improve the patient satisfaction. During the training, the nurses’ theoretical knowledge, Specialist operating skills and nursing clinical practical ability have been significantly improved, it is worth widely clinical application and application.