QCC在降低神经外科重症监护患者身体约束率中的应用价值

The Application Value of QCC in Reducing the Rate of Physical Restraints for Neurosurgical Intensive Care Patients

摘要: 目的：验证QCC在降低神经外科重症监护患者身体约束率中的应用效果。方法：选取2023年8月至2024年12月我院神经外科重症监护室收治的160例患者作为研究对象。按照是否开展QCC活动分为改善前组和改善后组。2023年8月至2024年6月入住的患者80例为改善前组(QCC实施前)，2024年7月至12月入住的患者80例作为改善后组(QCC实施后)。改善前采取常规护理，改善后采取基于QCC管理工具系统性干预方案。对比两组患者身体约束相关指标、实施前后圈员自我能力评价。结果：改善后患者的身体约束率、平均约束时间及约束部位异常发生率均优于改善前(P < 0.05)。实施后的专业能力、工具应用能力、数据能力、团队能力、问题解决能力、持续改进能力均优于实施前(P < 0.05)。结论：QCC活动应用于神经外科重症监护患者护理中可有效降低身体约束率，改善约束相关指标，同时提升圈员自我能力，值得临床推广。

Abstract: Objective: To analyze the application effect of QCC in reducing the physical restraint rate among neurosurgical intensive care patients. Methods: A total of 160 patients admitted to the neurosurgical intensive care unit of our hospital from August 2023 to December 2024 were selected as the study subjects. They were divided into a pre-improvement group and a post-improvement group based on whether QCC activities were implemented. The 80 patients admitted from August 2023 to June 2024 formed the pre-improvement group (before QCC implementation), while the 80 patients admitted from July to December 2024 constituted the post-improvement group (after QCC implementation). Routine care was provided to the pre-improvement group, while the post-improvement group received a systematic intervention plan based on QCC management tools. The physical restraint-related indicators and self-evaluation of team members before and after implementation were compared between the two groups. Results: After improvement, the physical restraint rate, average restraint duration, and incidence of abnormal restraint sites were significantly better than before improvement (P < 0.05). Post-implementation self-evaluations of team collaboration ability, communication and coordination skills, problem-solving ability, quality control tool proficiency, and sense of responsibility were all superior to those of the control group (P < 0.05). Conclusion: The application of QCC activities in the nursing care of neurosurgical intensive care patients can effectively reduce the physical restraint rate, improve restraint-related indicators, and enhance team members’ self-efficacy, making it worthy of clinical promotion.