论文部分内容阅读
目的系统评价品管圈活动对手术患者手术期间压疮预防的有效性。方法以品管圈、手术压疮为关键词利用计算机进行文献检索中国知网(CNKI)、万方数据库、清华同方中文数据库、中国生物医学文献数据库和维普数据库(VIP),检索时限2010年12月至2016年12月关于品管圈活动与手术压疮预防关系的回顾性队列研究,对符合条件纳入的文献进行数据收集整理并应用Revman5.3软件进行meta分析。结果纳入公开发表的关于品管圈活动与手术压疮预防关系的回顾性队列研究。最终选定18个回顾性队列研究,共纳入49 963例患者,其中:研究组25 739例,对照组24 224例。Meta分析结果显示:在手术护理中,与传统的管理模式比较,品管圈活动手术过程中压疮的发生率显著下降,差异有统计学意义(P<0.000 01),Z=12.69(OR=0.40,95%CI=0.35~0.46)。结论开展品管圈活动这一管理模式后,可以明显减少手术过程中压疮的发生。
Objective To systematically evaluate the effectiveness of quality control ring activities in prevention of pressure ulcers during surgery in surgical patients. Methods CNKI, Wanfang Database, Tsinghua Tongfang Chinese Database, Chinese Biomedical Literature Database and VIP Database were searched with the help of quality control circle and surgical pressure ulcer as the key words. A retrospective cohort study on the relationship between QA activities and pressure ulcer prevention was conducted from January to December 2016. Data of those eligible for inclusion were collected and analyzed by meta-analysis using Revman5.3 software. Results were included in a published retrospective cohort study of the relationship between QA activity and prevention of pressure ulcer surgery. A total of 18 96 retrospective cohort studies were selected, enrolling 49 963 patients, of whom 25 739 were in the study group and 24 224 in the control group. The results of Meta analysis showed that the rate of pressure ulcer during operation of QOL was significantly lower than that of traditional management in surgical nursing, the difference was statistically significant (P <0.000 01), Z = 12.69 (OR = 0.40, 95% CI = 0.35 ~ 0.46). Conclusions The management of QA activities can significantly reduce the occurrence of pressure sores during surgery.