首页> 外文期刊>Nursing of intrgrated traditional Chinese and Western medicine(Zhong-Xiyi Jiehe Huli ) >降低经桡动脉行冠状动脉介入术后患者睡眠障碍发生率的品管圈实践
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降低经桡动脉行冠状动脉介入术后患者睡眠障碍发生率的品管圈实践

机译:降低经桡动脉行冠状动脉介入术后患者睡眠障碍发生率的品管圈实践

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Abstract:Objective To investigate the effect of quality control circle(QCC)activities to reduce the incidence rate of sleep disorders in patients after transradial coronary intervention(TRI). Methods 〓The QCC group was set up, and the theme of the QCC activity was to reduce the incidence rate of sleep disorders in patients after TRI. Before implementation of QCC activities, 124 patients undergoing TRI between May, 2017 and June, 2017 were included. Corresponding interventions were carried out based on the analysis of potential reasons of sleep disorders. A set of nursing quality indexes was established to implement and maintain quality improvement. Another 164 patients with TRI were included between August 2017 and September 2017, and the sleep state of patients were observed and compared before implementation of QCC activities. Results 〓The incidence of sleep disorders was 66.13%(82/124)before implementation of QCC activities. The key points of improvement were limb swelling and pain, and the root causes were insufficient frequency of hemostasis, ignorance of activity methods, poor performance in relieving swelling and pain, lack of supervision system. The incidence of sleep disorders dropped to 30.49%(50/164)after implementation of QCC activities, with a target achievement ratio of 101.63%.The incidence rate of limb swelling and pain was decreased after implementation of QCC activities compared with that before implementation of QCC activities(P0.05). Conclusion 〓The QCC activity is an effective tool to reduce the incidence rate of sleep disorders in patients after TRI. It can also improve the evidence-based nursing ability and creativity of nurses.
机译:摘要:目的探讨质量控制圈(QCC)活动对降低经radi动脉冠状动脉介入治疗(TRI)后患者睡眠障碍发生率的影响。方法〓成立QCC组,以降低TRI后患者睡眠障碍的发生率为主题。在实施QCC活动之前,纳入了2017年5月至2017年6月之间进行TRI的124例患者。基于对睡眠障碍潜在原因的分析,采取了相应的干预措施。建立了一套护理质量指标以实施和维持质量改进。在2017年8月至2017年9月之间纳入了另外164例TRI患者,并在实施QCC活动之前观察并比较了患者的睡眠状态。结果〓实施QCC活动前,睡眠障碍发生率为66.13%(82/124)。改善的重点是四肢肿胀和疼痛,根本原因是止血频率不足,对活动方法的无知,缓解肿胀和疼痛的表现差,缺乏监督系统。实施QCC活动后睡眠障碍发生率降至30.49%(50/164),目标达成率为101.63%。实施QCC活动后肢体肿胀和疼痛的发生率较实施QCC活动前降低QCC活动(P <0.05)。结论〓QCC活性是降低TRI患者睡眠障碍发生率的有效手段。它还可以提高护士的循证护理能力和创造力。

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