qcc對(duì)提高器官移植科陪護(hù)洗手依從性的作用

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1、·38·JournalofNursingScienceJan．2014Vo1．29No．2·護(hù)理管理··論著·Qcc對(duì)提高器官移植科陪護(hù)洗手依從性的作用劉晶晶，劉立芳，劉敏，崔麗娜，謝松，周玲，周麗琴，蔣芬，吳曉霞摘要：目的探討品管圈(QCC)對(duì)提高器官移植科陪護(hù)洗手依從性的作用。方法選擇2012年11～l2月器官移植住院患者所有陪護(hù)6O人設(shè)為對(duì)照組(Qcc干預(yù)前)，選擇2013年5～6月住院患者所有陪護(hù)64人設(shè)為觀察組(QCC干預(yù)后)，對(duì)照組按常規(guī)對(duì)陪護(hù)進(jìn)行醫(yī)院感染知識(shí)教育，并重點(diǎn)加強(qiáng)手衛(wèi)生管理教育；觀察組在此基礎(chǔ)上應(yīng)

2、用Qcc對(duì)陪護(hù)洗手行為進(jìn)行管理，即通過(guò)成立Qcc小組，進(jìn)行現(xiàn)狀調(diào)查，找出洗手依從性低的要因，采取有效措施進(jìn)行持續(xù)質(zhì)量改進(jìn)。結(jié)果觀察組對(duì)手衛(wèi)生知識(shí)認(rèn)知評(píng)分、實(shí)際洗手依從性、六步洗手法掌握情況及洗手后手細(xì)菌學(xué)檢測(cè)效果顯著高于對(duì)照組(均P

3、2014)02—0038一O3D0I：10．3870／hlxzz．2014．02．038Effectofqualitycontrolcircleinimprovinghand—washingcomplianceofpatientescortsinDepartmentofOrganTransplantation∥LiuJingjing，LiuLi{ang，LiuMin，CuiLina，XieSong，ZhouLing，ZhouLiqin，JiangFen，WuXiaoxiafTheTransplanta—tionCente

4、royXiangyaThirdHospital，CentralSouthUniversity，Changsha410013，China)Abstract：ObjectiveToexploretheeffectofqualitycontrolcircle(QCC)inimprovinghand—washingcomplianceofpatientescortsinDepartmentofOrganTransp1antation．MethodsSixtyescortsofpatientstreatedinDepartment

5、of()rganTransplantationduringNovembertoDecemberin2012servedasthecontrolgroup(beforetheQCCintervention)．Incomparisonwiththosecases，64ca—sesweretakenastheexperimentalgroup(afterQCCintervention)．Thecontrolgroupreceivedconventionaleducationonnosoco—mialinfectioncontr

6、ol，andparticularlyonhandhygiene．QCCwasappliedtotheexperimentalgrouptomanagehandwashingbe—havioroftheescortsscientifically．ByestablishingaQCCteamandconductingsurveysonthistopic，wefiguredoutthekeyfactorsoflowcomplianceofhand—washing，andtookmeasurestopushforwardhand

7、—washingquality．ResultsThescoreofhandhygieneawareness，theactualwashcompliance，graspinglevelofsix-stephandwashingmethodandtheeffectafterwashingweresignifi—cantlyhigherintheexperimentalgroupthaninthecontrolgroup(P％0．01foral1)．ConclusionApplicationofQCCcaneffectivel

8、yimprovecomplianceofhandwashingandwashingeffectfortheescorts，decreaseinfectionrateofthepatientsaftertransplantation，andimprovenursingqualityandmedical1eve1．Key