赵爱学山东省邹平县魏桥镇卫生院，山东滨州　256212

品管圈管理在预防神经内科鼻饲管非计划性拔管中的作用

赵爱学
山东省邹平县魏桥镇卫生院，山东滨州256212

目的研究在神经内科鼻饲管非计划性拔管预防中品管圈管理的应用效果。方法 对2012年11月—2015年12月间在该院接受治疗的神经内科鼻饲患者88例进行研究，以品管圈管理的应用时间作为分界点进行分组，即以2012年11月—2013年11月间44例未应用品管圈管理的患者为对照组，以2013年12月—2015年12月间44例应用品管圈管理的患者为研究组。对两组的非计划性拔管发生率、八项素质与能力评分进行对比。结果 研究组非计划性拔管发生率低于对照组；研究组的和谐程度、品管手法、积极性、凝聚力、愉悦感、沟通配合、责任感、问题解决能力八项素质与能力评分均高于对照组，差异有统计学意义（P＜0.05）。结论 对神经内科鼻饲患者应用品管圈管理可有效预防非计划性拔管，提升护理人员综合能力，适合推广应用。

鼻饲管；胃管；品管圈管理；非计划性拔管

［Abstract］Objective To research the application effect of quality control circle management in predicting unplanned extubation of nasogastric feeding tube in department of neurology.Methods 88 cases of patients with nasogastric feeding tube in department of neurology treated in our hospital from November 2012 to December 2015 were selected and divided into two groups according to the application time of quality control circle management，44 cases of patients without application of quality control circle management from November 2012 to November 2013 were selected as the control group，and 44 cases of patients with application of quality control circle management from December 2013 to December 2015 were selected as the research group，and the incidence rate of unplanned extubation and eight quality and ability scores were compared between the two groups.Results The incidence rate of unplanned extubation in the research group was lower than that in the control group，the eight quality and ability scores such as harmonious degree，quality control technique，enthusiasm，cohesive force，sense of joy，communication and coordination，sense of responsibility and problem-solving ability in the research group were higher than those in the control group，and the differences had statistical significance（P＜0.05）.Conclusion The application of quality control circle management in predicting unplanned extubation of nasogastric feeding tube in department of neurology is effective，which can improve the comprehensive ability of nursing staff，and it is suitable for promotion and application.

［Key words］Nasogastric feeding tube；Stomach tube；Quality control circle management；Unplanned extubation

非计划性拔管造成的影响较多，如引起感染、加剧疼痛等，易延长住院治疗时间，增加患者经济负担，为纠纷事件的发生埋下隐患，因此加强护理，有效预防非计划性拔管非常重要［1］。工作性质相关或相近的人秉持自动自发精神将各类改善方法运用于工作中，将个人潜能与群体智慧相结合，通过团队力量纠正工作中的不足，这样的过程就是品管圈管理［2-3］。为研究在神经内科鼻饲管非计划性拔管预防中品管圈管理的应用效果，该院以2013年12月—2015年12月间，44例神经内科鼻饲管患者为对象，并将品管圈管理应用于护理工作中，取得了满意成效，现报道如下。……