提高胸腔镜肺叶切除手术护理路径执行质量的品管圈实践

摘要

Abstract：Objective To investigate the effect of quality control circle(QCC)activities in improving the quality of nursing pathways in thoracoscopic pulmonary lobectomy. Methods 〓Totally 255 patients undergoing thoracoscopic pulmonary lobectomy between June, 2016 and December, 2016 were selected as the control group, and another 220 patients recruited between January, 2017 and June, 2017 were selected as the observation group. Both two groups were given clinical nursing pathways, and the QCC activities were carried out to regulate the implementation of clinical nursing pathway in the observation group. To compare the excellent rate of implementation between two groups, and to evaluate the QCC ability of nurses before and after QCC activities. Results 〓The excellent rate of nursing pathway implementation was higher in the observation group than that of the control group(87.73% vs 65.10%), with a target achievement rate of 109.50% and a progress rate of 64.84%. The QCC ability, professional self-identificaiton, communication skills and team cohesiveness of 16 QCC members were enhanced after implementation of QCC skills(P0.05). Conclusion 〓The implementation of QCC activity is potentially effective to improve the nursing quality during thoracoscopic pulmonary lobectomy, as well as comprehensive ability of nurses.