中国感染控制杂志2016，Vol.15Issue(11)：868-871,4.DOI:10.3969/j.issn.1671-9638.2016.11.016
应用品管圈提升呼吸机相关肺炎控制措施依从性
Application of quality control circle for improving compliance to ventila-tor-associated pneumonia control measures
黄淑梅 1谭玉婷 2张娟娟 1叶炜 1吴利平 1陈堂1
作者信息
- 1. 湖南旺旺医院，湖南 长沙 410208
- 2. 湖南中医药大学，湖南 长沙 410208
- 折叠
摘要
Abstract
Objective To evaluate the effect of quality control circle(QCC)on improving compliance to ventilator-associated pneumonia(VAP)control measures.Methods 100 patients who were admitted to an intensive care unit (ICU)and with mechanical ventilation in January-December 2014 (control group)and 100 patients with mechanical ventilation in January-December 2015 (trial group)were selected with convenient sampling method.Trial group im-plemented QCC management method,compliance to VAP control measures and hand hygiene (HH)among HCWs before and after implementing QCC was compared respectively.Results Difference in compliance to each VAP con-trol measure between HCWs in trial group and control group was significant(all P <0.001 );compliance rate to all control measures in control group and trial group were 32.00% and 74.00% respectively(P <0.001 ).Compliance rate and qualified rate of HH among HCWs in control group were 29.14% and 42.50% respectively,trial group were 83.64% and 82.50% respectively,incidence of VAP in patients in control group and trial group were 10.00%and 2.00% respectively (all P <0.001).Conclusion QCC management has remarkable effect on improving bundle prevention strategy of VAP and HH compliance of HCWs,and can effectively reduce the incidence of VAP.关键词
品管圈/集束化预防策略/手卫生/呼吸机相关肺炎/依从性/医院感染Key words
quality control circle/bundle prevention strategy/hand hygiene/ventilator-associated pneumonia/compliance/healthcare-associated infection分类
医药卫生引用本文复制引用
黄淑梅,谭玉婷,张娟娟,叶炜,吴利平,陈堂..应用品管圈提升呼吸机相关肺炎控制措施依从性[J].中国感染控制杂志,2016,15(11):868-871,4.
