Objective To observe the effect of quality control circle management in reducing the noise level in the psychoso -matic department of a level 3 general hospital.Methods We selected 418 patients in our hospital from January to March in 2017 as control group.From April to June,another 466 patients were selected as observe group .The control group was implemented with conven -tional ward noise management ,while the observation group was implemented with the ward noise management based upon the control group.Both groups were hospital care .After the study,the results of the management team including management ,communication ,coor-dination,professional knowledge,teamwork,innovation,event confidence and computer skills were compared between the two groups . Meanwhile,the noise situation and the patient's sleep quality were compared between the two groups .Results After the implementation of the management of the circle management ,communication and coordination ,professional knowledge,team spirit,innovation ability,ac-tivity confidence and computer operating ability were all significantly higher than before the implementation (P <0.05).The goal rate and the improvement rate in the observation group were significantly higher than those in the control group (P <0.05).At the time of discharge,the number of times of noise more than 60 decibels was significantly less than that of admission ,and the observation group was less than the control group(P <0.05).In the control group,the quality of sleep at discharge was significantly lower than that at ad -mission and was significantly lower than that in the observation group (P <0.05).In the observation group,there was no significant difference in the sleep quality score between at discharge and admission (P >0.05).Conclusion Quality control circle management can improve the ability of medical staff ,innovation and team spirit.It can create a quiet and comfortable environment for patients to im -prove the quality of sleep in patients .It has a greater clinical value.%目的 观察品管圈管理在降低三级综合医院心身病房噪音量的应用效果.方法 选取我科2017年1～3月418名住院患者为对照组,2017年4～6月466例住院患者为观察组.对照组予以常规病房噪音管理,观察组在此基础上按品管圈管理方法实施病房噪音管理,均为院内护理.比较品管圈管理法实施前后,品管圈管理小组人员无形成果(管圈手法运用、沟通协调、专业知识、团队精神、创新能力、活动信心及电脑操作能力),同时了解两组病房噪音差异以及患者睡眠质量情况.结果 实施后管圈手法运用、沟通协调、专业知识、团队精神、创新能力、活动信心及电脑操作能力分值明显高于实施前(P<0.05).出院时观察组目标达成率及改善幅度显著高于对照组(P<0.05).两组出院时噪音大于60分贝次数明显少于入院时,其中观察组少于对照组(P<0.05).对照组出院时睡眠质量明显低于入院时,且明显低于观察组(P<0.05).观察组出院时的睡眠质量评分与入院时比较差异无统计学意义(P>0.05).结论 品管圈管理可提高医务人员工作能力、创新力及团队精神,同时可为患者营造安静舒适的环境,提高患者睡眠质量,具有较大的临床应用价值.
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