关键词: compliance quality control circle surgical mask tuberculosis

来  源:   DOI:10.2147/PPA.S445632   PDF(Pubmed)

Abstract:
UNASSIGNED: The purpose of this study is to examine the effect of quality control circle (QCC) activities on increasing the mask-wearing compliance of hospitalized patients diagnosed with tuberculosis (TB) during external examinations.
UNASSIGNED: To assess the mask-wearing compliance of patients diagnosed with TB admitted to a ward in our hospital in 2019, who visited other departments, we conducted activities in accordance with the ten steps of the QCC. We outlined the causes of non-compliance and developed and implemented improvement plans. We compared the results obtained before and after the implementation of the QCC to assess the enhancement in patient compliance concerning wearing masks during external examinations, particularly among individuals diagnosed with pulmonary tuberculosis.
UNASSIGNED: The compliance rate for mask-wearing during external examinations rose from an initial 32.61% (45/138) prior to the intervention to 83.71% (149/178) following the intervention. The difference between the two groups was statistically significant (χ2 = 85.635, P < 0.001). The following countermeasures and implementation measures were formulated: (1) Increasing public health education and awareness; (2) Strengthening the training of nursing staff to enhance their knowledge; (3) Providing free surgical masks; (4) Establishing an effective monitoring system with the department of auxiliary examinations.
UNASSIGNED: QCC interventions were significantly effective in enhancing adherence to mask-wearing protocols during external examinations of hospitalized patients with tuberculosis. Such improvements contribute substantially to the mitigation of tuberculosis transmission within clinical and healthcare environments.
摘要:
这项研究的目的是检查品管圈(QCC)活动对增加被诊断为结核病(TB)的住院患者在外部检查期间戴口罩依从性的影响。
为了评估2019年在我们医院病房就诊的被诊断为结核病的患者的戴口罩依从性,我们按照QCC的十个步骤进行了活动。我们概述了不合规的原因,并制定和实施了改进计划。我们比较了QCC实施前后获得的结果,以评估患者在外部检查期间佩戴口罩的依从性的增强,特别是在诊断为肺结核的个体中。
外部检查期间戴口罩的依从率从干预前最初的32.61%(45/138)上升到干预后的83.71%(149/178)。两组比较差异有统计学意义(χ2=85.635,P<0.001)。制定了以下对策和实施措施:(1)提高公共卫生教育和意识;(2)加强护理人员的培训,提高其知识水平;(3)免费提供手术口罩;(4)与辅助检查部门建立有效的监测体系。
QCC干预措施在提高住院结核病患者的外部检查期间对戴口罩方案的依从性方面显着有效。这种改善大大有助于缓解临床和医疗保健环境中的结核病传播。
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