关键词: 护理服务全过程, 单病种, 品管圈, 课题达成型

Abstract: Objective　To explore the application of project-achieving quality control circle in constructing a single-disease-oriented whole processmodel of nursing service, and provide a theoretical support for the single-disease-oriented whole process model of nursing service. Methods　Before the activities, 351 patients with the top 10 diseases admitted to the Department of Rheumatism and Kidney Disease, Central Hospital of Panyu District from November 2018 to April 2019 (before the implementation of quality control circle activities) were selected as a control group, of whom there were 167 males and 184 females, with an age of 56 (44,69) years old. A quality control circle group was set up, "constructing a single-disease-oriented whole-process model of nursing service" was selected as the theme of the activities, and the activities were carried out in accordance with the processof project-achieving quality control circle activities, namely setting goals and conducting feasibility analysis, putting forward plans and determining the best plan, formulating and implementing countermeasures according to the best plan, checking the effects and standardizing management after implementation of all measures, and finally summarizing the activities and putting forward future plans. After the activities, 368 patients with the same diseases admitted to the Department of Rheumatism and Kidney Disease, Central Hospital of Panyu District from December 2019 to May 2020 (after the implementation of quality control circle activities) were selected as an experimental group, of whom there were 168 males and 200 females, with an age of 46 (61,71) years old.The tangible and intangible results before and after the activities were evaluated.Mann-whitney U test was used for comparison of non-normally distributed measurement data between groups, and χ² test was used for comparison of count data between groups. Results　After the quality control circle activities, the score rate of nursing quality, satisfaction score, and length of stay in patients of our department were 92.50% (22 126/23 920), 94.55 (89.09, 98.18) points, and 7 (5, 9) d, respectively, and those were 84.29% (19 231/22 815), 87.27 (78.18, 96.36)points, and 7 (5,10) d respectively before the quality control circle activities; there were statistically significant differences between the two groups (all P<0.05).Before and after the quality control circle activities, the implementation rate of nursing plan and the evaluation score of nurse business round were 47.97% (876/1 826), 70.00 (65.00, 76.00) points and 81.40% (1 558/1 914), 70.00 (65.25, 80.00) points respectively; there were statistically significant differences between the two groups (both P<0.05). In addition, we successfully applied for a science and technology plan project in Panyu District, Guangzhou City, and won multiple awards such as the High-quality Nursing Service Quality Improvement Project, and gained more intangible results. Conclusions　The single- disease-oriented whole-process nursing service model is conducive to improving the patients' nursing quality and satisfaction, reducing the length of stay, and improving the implementation rate of nurses' nursing plan and ability to perform business rounds. The project-oriented quality control circle activities contribute to the improvement of nurses' service awareness, problem-solving ability, and innovation ability, and provide a foundation for the implementation of single-disease-oriented whole-process nursing service model.

Key words: Whole-process nursing service model, Single disease, Quality control circle, Project achievement type