| 降低ICU机械通气患者约束率的课题达成型品管圈实践 |
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| 引用本文： | 柳莹,高春红,王爱鹏,刘莉莉,张瑜,陈文雅.降低ICU机械通气患者约束率的课题达成型品管圈实践[J].护理学杂志,2019,34(23):54-57. |
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| 作者姓名： | 柳莹 高春红 王爱鹏 刘莉莉 张瑜 陈文雅 |
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| 作者单位： | 南京医科大学第一附属医院重症医学科 江苏南京,210029;南京医科大学第一附属医院老年心脏科 江苏南京,210029 |
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| 摘 要： | 目的探讨课题达成型品管圈活动在降低ICU机械通气患者约束率中的效果。方法按时间段将118例ICU行机械通气患者分为对照组57例,研究组61例。对照组实施约束常规护理;研究组针对降低约束率开展课题达成型品管圈活动,即制定有效对策群组并组织实施,进行标准化管理。结果开展品管圈活动后,研究组患者身体约束率、镇静镇痛合格率、谵妄发生率显著下降(均P0.05)。品管圈活动目标达成率110.8%,进步率33.24%。结论开展课题达成型品管圈活动,有效降低了ICU机械通气患者约束率、谵妄发生率,同时圈员的品管手法、专业知识、沟通协调能力得到有效提高。
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| 关 键 词： | ICU 机械通气 约束 课题达成型品管圈 非计划拔管 谵妄 镇静 |
| 收稿时间： | 2019/7/17 0:00:00 |
| 修稿时间： | 2019/9/2 0:00:00 |
Project-based quality control circle activities in reducing the restraint rate of patients with mechanical ventilation in ICU |
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| Liu Ying,Gao Chunhong,Wang Aipeng,Liu Lili,Zhang Yu,Chen Wenya.Project-based quality control circle activities in reducing the restraint rate of patients with mechanical ventilation in ICU[J].Journal of Nursing Science,2019,34(23):54-57. |
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| Authors: | Liu Ying Gao Chunhong Wang Aipeng Liu Lili Zhang Yu Chen Wenya |
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| Affiliation: | Intensive Care Unit, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China;Intensive Care Unit, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210030, China;Intensive Care Unit, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210031, China; Intensive Care Unit, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210032, China |
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| Abstract: | |
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| Keywords: | ICU mechanical ventilation restraint project-based quality control circle unplanned extubation delirium sedation |
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