品管圈活动在改善恶性肿瘤患者静脉化疗护理质量中的成效分析

Effect Analysis of Quality Control Circle Activities in Improving the Quality of Intravenous Chemotherapy Care for Patients with Malignant Tumor

摘要: 目的：探讨品管圈在改善恶性肿瘤患者静脉化疗护理质量中的效果。方法：整群抽取2018年5月~2019年1月新疆某三级甲等肿瘤专科医院消化内科一病区及消化内科二病区各20名护士为本次研究对象，其中消化内科二病区20名护士为对照组，消化内科一病区20名护士为观察组。对照组采用常规设立奖惩方法开展静脉化疗护理质量管理，观察组采用品管圈方法开展静脉化疗护理质量管理，观察并分析两组静脉化疗敏感指标体系评分，并评估观察组圈员圈能力变化。结果：观察组静脉化疗护理质量敏感性指标评分为(85.03 ± 6.48)分较对照组静脉化疗护理质量敏感性指标评分(63.12 ± 4.12)分高，差异有统计学意义(P < 0.05)；观察组实施后圈员在品管圈应用、团队精神、专业知识、沟通协调、活动信心、责任荣誉上评分均较实施前高，差异具有统计学意义(P < 0.05)；观察组护理质量考核评分显著高于对照组，差异有统计下意义(P < 0.05)。结论：品管圈应用于改善恶性肿瘤患者静脉化疗护理质量中，可有效提高恶性肿瘤患者静脉化疗护理质量及圈员自我能力。

Abstract: Objective: To explore the effect of quality control circle in improving the quality of intravenous chemotherapy for patients with malignant tumor. Methods: Twenty nurses from the first ward of gastroenterology department and the second ward of gastroenterology department of a grade III grade a tumor hospital in Xinjiang from May 2018 to January 2019 were selected as the study subjects. Twenty nurses from the second ward of gastroenterology department were selected as the control group, and 20 nurses from the first ward of gastroenterology department were selected as the observation group. The control group adopted the routine method of setting rewards and punishments to carry out the quality management of intravenous chemotherapy nursing, while the observation group adopted the quality control circle method to carry out the quality management of intravenous chemotherapy nursing, observed and analyzed the score of intravenous chemotherapy sensitive index system in the two groups, and evaluated the changes in the ability of the circle members in the observation group. Results: The score of quality sensitivity index of intravenous chemotherapy nursing in the observation group was (85.03 ± 6.48) higher than that in the control group (63.12 ± 4.12), and the difference was statistically significant (P < 0.05). The scores of the circle members in the observation group on the application, team spirit, professional knowledge, communication and coordination, activity confidence, responsibility and honor in the quality control circle after the implementation were all higher than before the implementation, and the difference was statistically significant (P < 0.05). The nursing quality assessment score of the observation group was significantly higher than that of the control group, with statistically significant difference (P < 0.05). Conclusion: Quality control circle is applied to improve the quality of intravenous chemotherapy nursing for patients with malignant tumor, which can effectively improve the quality of intravenous chemotherapy nursing for patients with malignant tumor and the ability of circle members.