Abstract: Objective　To explore the effect of quality control circle activities in improving the family readiness for premature infants discharged from hospital. Methods　In April 2020, a quality control circle activity team was set up. A total of 36 premature infants including 4 pairs of twins and 32 premature infants' mothers, were discharged from Department of Neonatology of The Second Affiliated Hospital of Guangzhou Medical University before the quality control circle activities from June to September 2020 as a control group. The present situation of discharge family readiness was investigated, the causes were analyzed, the improvement focus was established, the target value was set, and the countermeasures were formulated. A total of 37 premature infants including 2 pairs of twins and 35 premature infants' mothers, were selected after the implementation of quality control circle activities from November 2020 to March 2021 as an observation group, and the quality control circle activities and continuous quality improvement were carried out for them. The age in premature infants' mothers of the control group was (31.66±5.313) years old, and (31.91±4.705) years old of the observation group. In the control group, there were 17 male and 19 female premature infants, with a gestational age of (34.10±2.19) weeks; in the observation group, there were 21 male and 16 female premature infants, with a gestational age of (33.83±2.00) weeks. The discharge family readiness for preterm infants, maternal anxiety level, and preterm infants' rate of growth and development reaching the standards 2 weeks after discharge were compared between the two groups. Independent sample t test was used for the measurement data, and χ² test was used for the count data. Results　After the implementation of quality control circle activities, the score of discharge family readiness for preterm infants increased from (2.59±1.04) to (4.09±0.70), the maternal anxiety level decreased from (57.66±7.294) to (43.37±4.486), and the preterm infants' rate of growth and development reaching the standards 2 weeks after discharge increased from 61.11% (22/36) to 89.19% (33/37), with statistically significant differences (all P<0.05). Conclusions　Quality control circle activities can effectively improve the family readiness for preterm infants discharged from hospital, reduce the maternal anxiety level, improve the preterm infants' rate of growth and development reaching the standards 2 weeks after discharge, and better help preterm infants to transition smoothly from hospital to family.

Key words: Quality control circle activities, Preterm infants, Discharge, Family readiness, Rate of growth and development reaching the standards

摘要： 目的　探讨品管圈活动提高早产儿出院家庭准备度的实施效果。方法　2020年4月成立品管圈活动小组，选取2020年6月至9月品管圈活动前广州医科大学附属第二医院新生儿科出院早产儿作为对照组，早产儿36例，其中4对双胞胎，早产儿母亲32例，对其出院家庭准备度进行现况调查并分析原因，确立改善重点，设定目标值、制定对策；选取2020年11月至2021年3月品管圈活动实施后出院早产儿为观察组，早产儿37例，其中2对双胞胎，早产儿母亲35例，对其开展品管圈活动并持续质量改进。对照组早产儿母亲年龄（31.66±5.313）岁，观察组早产儿母亲年龄（31.91±4.705）岁。对照组早产儿男17例、女19例，出生胎龄（34.10±2.19）周；观察组早产儿男21例、女16例，出生胎龄（33.83±2.00）周。比较两组早产儿出院家庭准备度情况及早产儿母亲焦虑水平、早产儿出院后2周生长发育达标率。计量资料采用独立样本t检验，计数资料采用χ²检验。结果　品管圈活动实施后，早产儿出院家庭准备度全掌握得分从实施前的（2.59±1.04）分提高到（4.09±0.70）分，早产儿母亲的焦虑水平从实施前的（57.66±7.294）分降低至（43.37±4.486）分，早产儿出院后2周生长发育达标率从实施前的61.11%（22/36）提高到89.19%（33/37），差异均有统计学意义（均P<0.05）。结论　品管圈活动能有效提高早产儿出院家庭准备度，降低早产儿母亲焦虑水平，提高早产儿出院后2周生长发育达标率，能更好地帮助早产儿顺利从医院过渡到家庭。

关键词: 品管圈活动, 早产儿, 出院, 家庭准备度, 生长发育达标率