Abstract:

Objective　To investigate the application effect of quality control circle in improving the awareness rate of closed drainage of thoracic cavity related knowledge in patients after cardiovascular surgery. Methods　The quasi-experimental research method was adopted. A total of 60 patients after cardiovascular surgery, including 32 males and 28 females, who were hospitalized in the Department of Cardiac Surgery of Guangdong Provincial People's Hospital, Southern Medical University from June to July 2022 were selected as a control group. In order to address the status quo, the problems which urgently need to be improved were put forward, then the causes were analyzed, and the corresponding measures were took. A total of 60 patients after cardiovascular surgery, including 40 males and 20 females, who were hospitalized from February to April 2023, were selected as an observation group, and the quality control circle activities were carried out for them. After continuous strengthening of management in detail, we standardized implementation of each link, improved the status quo, then made a pre- and post-evaluation, and summarized the experiences of this activity. χ² test was used. Results　In the control group, 3 cases had excellent knowledge, 3 cases had good knowledge, 2 cases had fair knowledge, and 52 cases had poor knowledge. In the observation group, 37 cases had excellent knowledge, 11 cases had good knowledge, 7 cases had fair knowledge, and 5 cases had poor knowledge. The awareness rate of closed drainage of thoracic cavity related knowledge in the observation group was higher than that in the control group [91.67% (55/60) vs. 13.33% (8/60)], with a statistically significant difference (χ²=70.61, P<0.001). The nurses' mastery of closed drainage of thoracic cavity related knowledge in the observation group was higher than that in the control group (100.00% vs. 95.45%). Circle members' sense of responsibility, team spirit, communication skills, thoracic closed drainage and quality control circle related knowledge, problem-solving ability, and self-expression value had been improved. Conclusions　Quality control circle activities can improve the awareness rate of closed drainage of thoracic cavity related knowledge in patients after cardiovascular surgery, promote their recovery, and shorten their hospitalization period. For nurses, quality control circle can improve their relevant knowledge, thus provide patients with comprehensive, high quality, and safe nursing services. For hospitals and departments, it enhances the team cohesion, reduces the consumption of medical resources, lowers the medical costs, and improves the overall image of departments and hospitals.

Key words:

Cardiovascular disease, Closed drainage of thoracic cavity, Quality control circle, Awareness rate

摘要：

目的　探讨品管圈活动在提高心血管术后患者胸腔闭式引流相关知识知晓率中的应用效果。方法　采用类实验性研究方法，将2022年6月至7月在南方医科大学附属广东省人民医院心脏大血管外科住院的60例心血管术后患者作为对照组，其中男性32例，女性28例，针对现状，提出亟须改进的问题，进行原因分析，并制定相应措施；将2023年2月至4月住院的60例心血管术后患者作为观察组，其中男性40例，女性20例，开展品管圈活动，不断强化细节管理，规范各个环节的执行，改善现状。对两组作出评价，最后总结本次活动经验。采用χ²检验。结果　对照组知晓情况优秀3例、良好3例、一般2例、较差52例；观察组知晓情况优秀37例、良好11例、一般7例、较差5例。观察组心血管术后患者胸腔闭式引流相关知识知晓率高于对照组［91.67%（55/60）比13.33%（8/60）］，差异有统计学意义（χ²=70.61，P<0.001）。观察组护士对胸腔闭式引流相关知识的掌握情况高于对照组（100.00%比95.45%）。圈成员的责任心、团队精神、沟通能力、胸腔闭式引流及品管圈相关知识、解决问题的能力、自我体现价值均有提高。结论　开展品管圈活动能提高心血管术后患者胸腔闭式引流相关知识知晓率，促进患者康复，缩短患者住院周期。对护士而言，可提高护士相关知识掌握度，为患者提供全面优质安全的护理服务。对科室和医院而言，可增强团队凝聚力，减少医疗资源消耗，降低医疗成本，提高病区及医院整体形象。

关键词:

心血管疾病, 胸腔闭式引流, 品管圈, 知晓率