品管圈活动在缩短妇科围手术期患者禁饮禁食时间中的应用效果

Application Effect of Quality Control Circle Activities in Shortening the Perioperative Fasting Duration for Gynecological Patients

摘要: 目的：探讨品管圈(QCC)活动在缩短妇科围手术期患者禁饮禁食时间的应用效果。方法：成立QCC小组，以“缩短妇科围手术期禁饮禁食时间”为主题，通过现状调查、原因分析、目标设定、对策实施及效果确认等步骤开展活动。比较活动前后患者围手术期禁饮、禁食及术后恢复进食进水时间等指标。结果：实施QCC活动后，妇科围手术期患者术前平均禁饮时间从10.63 h降至6.33 h，平均禁食时间从19.06 h降至12.85 h；术后平均进饮时间从5.93 h缩短至2.49 h，平均进食时间从8.50 h缩短至3.50 h，患者不适感显著减轻，满意度明显提升。结论：QCC活动能有效优化妇科围手术期禁饮禁食管理流程，缩短患者禁饮禁食时间，提升医疗服务质量，值得临床推广。

Abstract: Objective: To explore the application effect of Quality Control Circle (QCC) activities in shortening the perioperative fasting duration for gynecological patients. Methods: A QCC team was established with the theme of “Shortening the Perioperative Fasting Duration”. Activities were carried out through steps including current state investigation, cause analysis, target setting, countermeasure implementation, and effect verification. Indicators such as preoperative fasting durations for liquids and solids, and postoperative resumption times for oral intake were compared before and after the intervention. Results: After implementing the QCC activities, the average preoperative fasting time for liquids decreased from 10.63 h to 6.33 h, and for solids from 19.06 h to 12.85 h. The average postoperative time to resume drinking shortened from 5.93 h to 2.49 h, and to resume eating from 8.50 h to 3.50 h. Patient discomfort was significantly reduced, and satisfaction markedly improved. Conclusion: QCC activities can effectively optimize the management process of perioperative fasting for gynecological patients, shorten fasting durations, and enhance the quality of medical care, making it worthy of clinical promotion.