Quality control circle for intra-operative pressure injury in patients with special surgical position
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摘要:目的 探讨品管圈(QCC)对降低手术中特殊体位患者压力性损伤的影响。方法 选择2018年6—12月本院手术中需采取特殊体位的手术患者，在品管圈活动控制下对其进行护理，统计、分析术中压伤率。结果 针对压伤高频发生部位，手术护士熟练地运用防压措施主动研究和解决存在的护理问题。通过自制个性化体位工具，采取个性化措施，特殊手术体位压伤率由11.54%下降至3.53%。结论 品管圈活动能降低特殊手术体位患者术中压伤发生率。Abstract:Objective To investigate the effect of quality control circle (QCC) on reducing intra-operative pressure injury in patients with special position.Methods From June to December 2018, patients with special surgical posture were selected and treated with QCC. The incidence rate of intra-operative pressure injury was analyzed.Results For the body position with a high incidence rate of pressure injury, the nurses skillfully used the anti-pressure measures to study and solve the existing nursing problems. Through application of self-made personalized posture tools and personalized measures, the incidence rate of pressure injury caused by special operation posture decreased from 11.54% to 3.53%.Conclusion QCC can reduce the incidence rate of intra-operative pressure injury in patients with special operation position.
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Keywords:
- surgical position /
- pressure injury /
- quality control circle
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表 1 改善重点对策实施后压伤发生率
% 压伤部位 改善前 对策一 对策二 对策三 对策四 前胸 7.21 6.11* 3.33* 1.78* 1.11* 下颌 4.58 4.55 2.50* 2.27* 0.56* 肋部 3.62 3.41 2.65* 1.76* 1.67* 髋部 4.15 4.15 2.50* 2.27* 1.02* 髂前上棘 5.30 3.79* 2.23* 1.65* 1.10* 与改善前比较, *P＜0.05。 
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表 2 改善前中后压伤发生率
项目 改善前 改善中 改善后 对策一 对策二 对策三 对策四 查检数量/例 33 33 30 33 45 36 实际查检量/点 286 286 260 286 390 312 损伤点/点 33 30 23 20 15 11 发生率/% 11.54 10.49 8.85 6.99 3.85 3.53* 与改善前比较, *P＜0.05。
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