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目的探讨品管圈活动在减少综合ICU置管患者非计划性拔管的应用效果。方法选2012-05~2013-03入住该院综合ICU患者950例作为对照组,实行常规护理;选2013-04~2013-11入住综合ICU患者490例作为观察组,成立品管圈,运用品管圈PDCA循环管理方法,确立降低综合ICU置管患者非计划性拔管率为活动主题,分析原因,设定目标,制定对策。尔后比较两组综合ICU置管患者非计划性拔管率。结果实施品管圈活动后,观察组患者非计划性拔管率低于对照组,差异有统计学意义(P<0.05)。结论品管圈活动对减少综合ICU置管患者非计划性拔管率效果显著,应用品管圈方法护理综合ICU置管患者,提高了护理安全性和服务质量。
Objective To investigate the effect of quality control loop on reducing unplanned extubation in patients with ICU. Methods A total of 950 ICU patients admitted to the hospital from May 2012 to March 2013 were selected as the control group and received routine care. 490-04 ICU patients admitted between 2013-04 and 2013-11 were selected as the observation group, Pipe loop PDCA cycle management methods to establish a comprehensive ICU catheter in patients with unplanned extubation rate as the theme of activity, analyze the causes, set goals and formulate countermeasures. Afterwards, the unplanned rate of extubation in patients with ICU in both groups was compared. Results After the implementation of quality control activities, the unplanned extubation rate in the observation group was lower than that in the control group, with significant difference (P <0.05). Conclusions Quality control ring activities have a significant effect on reducing unplanned extubation rate in ICU patients. ICA catheterization should be managed by quality control ring method to improve nursing safety and service quality.