品管圈活动在降低呼吸机相关性肺炎发生率中的应用

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Abstract Objective To study the effect of quality control circle (QCC) activity in reducing the incidence of ventilator associated pneumonia (VAP).Methods A total of 285 patients receiving mechanical ventilation in the First Affiliated Hospital of Guangdong Pharmaceutical University from January 2017 to June 2018 were selected as the research subjects, 135 patients admitted from January to September 2017 before the implementation of QCC activities were selected as the control group, and 150 patients admitted from October 2017 to June 2018 after the implementation of QCC activities were selected as the observation group.The control group adopted routine nursing intervention, and the observation group adopted nursing intervention under the quality control circle activities.The incidence of ventilator-associated pneumonia and the implementation rate of hand hygiene, the passing rate of hand hygiene, and the rate of good oral care results were compared between the two groups of patients.At the same time, the time of mechanical ventilation and ICU stay time were recorded.Results The incidence of ventilator-related pneumonia in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05).The rate of hand hygiene implementation, hand hygiene, and oral care in the observation group were higher than those in the control group, the differences were statistically significant (P<0.001).The mechanical ventilation time and ICU admission time in the observation group were shorter than those in the control group, the differences were statistically significant (P<0.05).Conclusion The implementation of QCC activities will help to reduce the incidence of VAP, improve the overall management of hospital infections and team collaboration.

Key words： Quality control circle Ventilator-associated pneumonia Mechanical ventilation Incidence rate

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	Articles by authors
	HUO Wanjun
	FENG Suyun
	XIONG Xiaoling

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HUO Wanjun,FENG Suyun,XIONG Xiaoling. Application of quality control circle activities in reducing the incidence of ventilator-associated pneumonia[J]. 中国当代医药, 2021, 28(36): 161-164.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I36/161

[1]	管向东，刘紫锰.2013《呼吸机相关性肺炎诊断、预防和治疗指南》——目标性治疗的解读.中华医学杂志[J]，2014，94（5）：333-334.
[2]	Gu WJ，Gong YZ，Pan L，et al.Impact of oral care with versus without toothbrushing on the prevention of ventilator -associated pneumonia：a systematic review and meta-analysis of randomized controlled trials[J].Crit Care，2012，16（5）：R190.
[3]	Rizalar S，Tural E，Altay B.Nurses′ protective measures during chemotherapy preparation and administration in Turkey[J].Int J Nurs Pract，2012，18（1）：91-98.
[4]	Umscheid CA，Mitchell MD，Doshi JA，et al.Estimating the proportion of healthcare-associated infections that are reasonably preventable and the related mortality and costs[J].Infect Control Hosp Epidemiol，2011，32（2）：101-104.
[5]	Lai KK，Baker SP，Fontecchio SA.Impact of a program of intensive surveillance and interventions targeting ventilated patients in the reduction of ventilator-associated pneumonia and its cost-effectiveness[J].Infect Control Hosp Epidemiol，2003，24（11）：859-863.
[6]	刘庭芳.我国医院品管圈活动综述[J].中国医院，2015，19（7）：1-3.
[7]	徐文华，魏雪，刘基华，等.PDCA 循环管理法干预前后门诊处方合理率比较[J].中国医院用药评价与分析，2017，17（4）：565-567.
[8]	武赟，夏冰.品管圈在提高运动关节科手术患者功能锻炼执行率中的应用效果[J].中国当代医药，2020（27）1：247-250.
[9]	石泽亚，杨丹，秦月兰，等.降低ICU 患者约束缺陷发生率的品管圈实践[J].护理学报，2014，21（15）：13-16.
[10]	赵倩，朱玲.品管圈在提高重症监护室多耐药菌感染隔离措施落实率中的应用[J].解放军护理杂志，2018，35（7）：72-76.
[11]	中华医学会重症医学分会.呼吸机相关性肺炎预防、诊断及指南.中华内科杂志[J]，2013，52（6）：1-20.
[12]	中华医学会呼吸病学分会感染学组.中国成人医院获得性肺炎与呼吸机相关性肺炎诊断和治疗指南（2018年版）[J].中华结核和呼吸杂志，2018，41（4）：255-280.
[13]	冉雪曼.集束化干预策略预防呼吸机相关性肺炎的Meta分析[D].重庆：重庆医科大学，2018.
[14]	唐慧婷，卢惠娟，杨晓莉，等.氯己定用于气管插管危重患者口腔护理效果的Meta 分析[J].护理学杂志，2013，28（3）：78-81.
[15]	中华人民共和国卫生部.医务人员手卫生规范：WS/T313-2009[S].北京，2009.
[16]	张云.口腔冲洗在口腔颌面外科手术患者术后应用的护理效果[J].中国卫生标准管理，2019，10（16）：154-156.
[17]	温晓娟，朱志梅.品管圈活动在肝癌介入术治疗患者中的应用[J].中国当代医药，2020，27（22）：86-88.
[18]	钟丽华，王红梅，任素桃，等.应用品管圈提高骨科手术外来医疗器械清洗合格率[J].中国感染控制杂志，2018，17（3）：267-269.
[19]	王清妍，匡荣岩.品管圈在重症监护室防控呼吸机相关性肺炎的作用[J].中华医院感染学杂志，2020，30（19）：3036-3040.
[20]	李光香，陈金之，包惠荣，等.重症监护室医务人员手卫生状况及干手措施对洗手效果的影响[J].中国感染控制杂志，2014，13（9）：552-555.