摘要目的 探讨品管圈在降低日间手术高血压病患者因术前血压升高而导致的手术临时延迟及取消率中的应用效果.方法 成立品管圈小组,开展"降低日间手术患者因术前高血压而导致的手术临时延迟及取消率"活动.选择2015年7-10月248例高血压病患者为对照组(活动前),进行前期现状调查和数据收集,通过品管圈活动设定目标.选择2015年11月-2016年2月276例高血压病患者为试验组(活动后).实施改进措施后评价品管圈活动的实施效果.结果 开展品管圈活动后,患者术前血压达标率从活动前的89.52%提高到94.93%,术前取消及延迟手术率由活动前的9.27%下降到3.62%,患者服药的依从性由活动前的7.26%提高到13.40%,护士满意度由活动前的90.72%提高到95.65%,差异均有统计学意义(P<0.05).此外,各圈员的品管圈手法运用、沟通能力、解决问题能力、工作积极性和团队精神均有提高.结论 品管圈活动的开展有效减少了日间手术高血压病患者因血压升高而造成的手术延迟或取消,提高了护理质量和患者满意度,提升护士整体素质,体现了术前护理干预的重要性,促进日间手术病房工作规范有序高效运行.

abstractsObjective To explore the effects of quality control circle (QCC) on reducing the rate of surgery delay and cancellation caused by raised blood pressure before surgery in hypertension patients undergoing day surgery. Methods We formed a QCC team and carried out the activity "reducing the rate of surgery delay and cancellation caused by raised blood pressure before surgery in hypertension patients undergoing day surgery". From July to October 2015, a total of 248 hypertension patients were selected in control group (before activity). And then, we implemented investigation of the current situation, collected data and set targets by QCC activity. From November 2015 to February 2016, a total of 276 hypertension patients were selected in experimental group (after activity). Finally, we evaluated the effects of QCC activity after implementing improved measures. Results After carrying out QCC activity, the standard-reaching rate of preoperative blood pressure raised from 89.52% before activity to 94.93%; the rate of surgery cancellation and delay before surgery reduced from 9.27% to 3.62%; the medication compliance increased from 7.26%before activity to 13.40%, the satisfaction of nurses added from 90.72% before activity to 95.65%, and with significant differences (P< 0.05). Besides, there were improvements in techniques of QCC, communication skills, problem-solving skills, work enthusiasm and team spirit among team members. Conclusions The implementation of QCC activity effectively reduces the rate of surgery delay and cancellation caused by raised blood pressure before surgery in hypertension patients undergoing day surgery, improves nursing quality and patient' satisfaction, enhances nurses' overall quality. Besides, it reflects the importance of preoperative nursing intervention and promotes ordered as well as efficient operation in work specification of day surgery ward.