品管圈活动在改进护士对呼吸机报警认知及处理的影响.docVIP

. PAGE 1 品管圈活动在改进护士对呼吸机报警认知与处理的影响 敏 摘要 目的 探讨品管圈活动对护士在呼吸机报警认知与处理方面的影响，确保呼吸机治疗的平安。方法 成立品管圈活动小组，确立主题，把握影响护士对ICU护士对呼吸机报警识别与处理不及时、不正确的原因，从认知、行为、管理及流程4个方面进展分析、讨论，设定目标，制定和实施对策，并对实施的过程进展质控。比照研究两组病人一样时间段呼吸机报警次数、护士处理时间及不良事件发生情况，以及护士掌握报警知识情况。结果 ICU护士对呼吸机报警原因掌握知晓率由实施前52.50%提高到97.50%；理解呼吸机报警英文意义知晓率由实施前41.25%提高到93.75%；报警处理正确率由实施前56.25%提高到95%；在报警次数、护士对报警处理时间方面比较，也有显著性差异〔P0.01，0.05〕。结论 品管圈活动提高了ICU护士对呼吸机报警认知程度和呼吸机报警及时识别与防处理的能力。 【关键词】品管圈；呼吸机报警；认知与处理 Effect on application of quality control circle in improving nurses’ cognition and treatment onventilator alarm ABSTRACTObjectiveTo investigate the impact of application of quality control circle(QCC)in improving nurses’ cognition and treatment on ventilator alarm, in order to ensure the safety of ventilator in therapy.Methods To found the team of QCC, establishthemes and grasp the factorsaffecting ICU nurses’ recognition and treatment on ventilator alarm not timely and correctly, then to develop and implement goal and countermeasures and control quality of the implementation process from cognition, behavior, management and process. Finally, to pare ventilator alarm times, nurses processing time and the occurrence of adverse events of two group . 作者单位：277102 省枣庄市立医院科ICU 敏：女，本科，副主任护师，护士长，:lmslyy126.. patients and nurses’knowledge on ventilator alarm.Results pared withthe previous implementation, the rate of ICU nurses’ awareness of ventilator alarm factors was increased from 52.50% to 97.50%; awareness of meaning of English words occurringwhen the ventilator was alarming from 41.25% to 93.75%, accuracy ratefrom 56.25% to 95%; there were significant difference in ventilator alarm times and nurses processing time〔P0.01，0.05〕.ConclusionsICU nurses’capabilities of awareness, timely identification and prevention of ventilator alarms were all improved by QCC activities. KEYWORDS Quality control circle; Ventilator alarm; Cognition and treatment 呼吸机报警是对病人的一种保护措施，提高了使用的质量和平安性能。出现报警时，不仅仅是单纯消除报警信号，更重要的是正确处理报警原因。ICU护士，24 h守护在呼吸机旁，是呼吸机运转过程中发现