品管圈护理模式对外科手术后患者文化休克干预效果研究.docVIP

品管圈护理模式对外科手术后患者文化休克干预效果研究 　　【摘要】 目的：研究品管圈护理模式对外科手术后患者文化休克干预的应用效果。方法：筛选出本科自2012年以来具有文化休克现象的患者100例作为研究对象，将其按照随机数字表法分为试验组和对照组，每组50例。对照组患者不给予特殊干预。试验组患者给予品管圈护理模式，通过建立品管圈活动小组，制定品管圈活动小组活动的具体措施，对品管圈活动小组的实施结果进行评价和反馈性改进。观察比较两组患者的文化休克消除情况、护理满意度及基础护理落实情况。结果：干预前，两组患者的沮丧、焦虑、恐惧、绝望发生率比较差异均无统计学意义（P0.05）。干预后，试验组的沮丧、焦虑、恐惧、绝望发生率分别为28.0%、22.0%、12.0%、4.0%，均明显低于对照组的52.0%、66.0%、38.0%、20.0%，差异均有统计学意义（ 字2=6.000、19.010、9.013、6.061，P0.05）。患者出院时，试验组患者对护理服务满意度为96.0%（48/50），明显高于对照组的64.0%（32/50），比较差异有统计学意义（ 字2=16.000，P0.05）。经干预后，试验组的术后护理、晨间护理、晚间护理、饮食护理、排泄护理、卧位护理、舒适护理及安全管理情况均明显优于对照组，差异均有统计学意义（P0.05）。结论：开展品管圈活动小组活动，有利于外科手术后患者文化休克的消除，有利于提高护理服务的满意度和基础护理落实。品管圈活动小组作为一种管理工具，值得在护理工作中借鉴使用。 　　【关键词】 品管圈； 文化休克； 护理 　　【Abstract】 Objective：To study the application effect of quality control circle nursing mode for culture shock intervention in surgical patients postoperative.Method：100 patients with culture shock since 2012 in our department were selected as research objects，they were divided into the experimental group and the control group according to the random number table method，50 cases in each group.The control group was not given special intervention，the experimental group was given quality control circle nursing mode，through built the quality control circle activity group，specific measures for the activities of quality control circle activity group were formulated，implementation results of quality control circle activity group were evaluated and feedback improved.The culture shock elimination，nursing satisfaction and basic nursing implementation between the two groups were observed and compared.Result：Before the intervention，there were no statistically significant differences in the incidence rates of frustration，anxiety，fear and despair between the two groups（P0.05），after the intervention，the incidence rates of frustration，anxiety，fear and despair in the experimental group were 28.0%，22.0%，12.0%，4.0%，which were significantly lower than 52.0%，66.0%，38.0% and 20.0% in the control group，the difference