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目的:探讨品管圈活动在癌痛患者服用毒麻药依从性中的作用。方法:设立品管圈,应用PDCA循环方法,确立“提高住院癌痛患者规范服用毒麻药依从性”为活动主题,确定活动目标、实行具体计划、分析存在问题、制定解决方案。结果:通过实施品管圈活动,使癌痛患者不定时和不定量口服毒麻药的依从性缺陷率均有所下降,不定时服药依从性缺陷率由实施活动前的18.57%降为实施活动后的5.71%,不定量服药依从性缺陷率由实施活动前的14.29%降为实施活动后的4.29%,P<0.05,均有统计学差异。结论:品管圈活动对提高癌痛患者口服毒麻药依从性有显著效果。
Objective: To explore the role of QA activities in the compliance of narcotics taking cancer pain patients. Methods: The establishment of quality control circle, the application of PDCA cycle method to establish “to improve the compliance of taking narcotics taking hospitalized cancer patients ” as the theme of the event, to determine the activities of the objectives, the implementation of specific plans to analyze the existing problems and develop solutions. Results: Through the implementation of quality control activities, the compliance rate of undetectable and non-quantitative oral narcotics was decreased in patients with cancer pain. The compliance rate of medication adherence decreased from 18.57% before implementation activities to implementation activities 5.71%. The rate of non-quantitative medication adherence defect was reduced from 14.29% before the implementation of the activity to 4.29% after the implementation of the activity, P <0.05, with statistical difference. CONCLUSIONS: Quality control loop activities have a significant effect on improving adherence of oral narcotics in patients with cancer pain.