[1]储承会张红菊胡雪慧董宪郝亮李丹许毓慧彭佳倩周雪艳曹浩梅周青李娜.降低宫颈癌根治术患者术后尿管重置率[J].中国卫生质量管理,2022,29(09):52-57.[doi:10.13912/j.cnki.chqm.2022.29.9.12 ]
　CHU Chenghui,ZHANG Hongju,HU Xuehui.Reducing the Rate of Urinary Catheter Replacement after Radical Resection of Cervical Cancer[J].Chinese Health Quality Management,2022,29(09):52-57.[doi:10.13912/j.cnki.chqm.2022.29.9.12 ]

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降低宫颈癌根治术患者术后尿管重置率

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第29卷期数: 2022年09期页码: 52-57 栏目: 患者安全出版日期: 2022-09-28

Title:: Reducing the Rate of Urinary Catheter Replacement after Radical Resection of Cervical Cancer

作者:: 储承会张红菊胡雪慧董宪郝亮李丹许毓慧彭佳倩周雪艳曹浩梅周青李娜; 空军军医大学第一附属医院（西京医院）

Author(s):: CHU Chenghui; ZHANG Hongju; HU Xuehui; The First Affiliated Hospital (Xijing Hospital) of Air Force Medical University

关键词:: 品管圈; 问题解决型品管圈; 宫颈癌根治术; 尿管重置

Keywords:: Quality Control Circle; Problem Solving Quality Control Circle; Radical Resection of Cervical Cancer; Catheter Replacement

分类号:: R197.323；R737.33

DOI:: 10.13912/j.cnki.chqm.2022.29.9.12

文献标志码:: B

摘要:: 目的降低宫颈癌根治术患者术后尿管重置率。方法成立品管圈圈组，对宫颈癌根治术患者术后14 d 尿管重置情况进行解析，针对问题真因制定措施加以改进，包括优化术式，规范流程与制度，构建多学科康复团队，建立盆底治疗中心等。结果宫颈癌根治术患者术后尿管重置率从36.07%降低至15.00％。结论品管圈活动降低了宫颈癌根治术患者术后尿管重置率，减少了泌尿系统感染风险，提高了患者生活质量，在使患者受益的同时优化了医疗资源配置。

Abstract:: ObjectiveTo reduce the rate of urinary catheter replacement after radical resection of cervical cancer.MethodsA quality control circle group was established to analyze the situation of urinary catheter replacement 14 days after radical resection of cervical cancer. Measures were formulated to improve the real causes of the problems, including optimizing surgical methods, standardizing procedures and systems, constructing multidisciplinary rehabilitation teams, and establishing pelvic floor treatment centers.ResultsThe rate of urinary catheter replacement after radical resection of cervical cancer decreased from 36.07% to 15.00%.Conclusion The quality control circle activity can reduce the urinary catheter replacement rate, reduce the risk of urinary system infection, improve the quality of life of patients, and realize the optimal allocation of medical resources while benefiting patients.

参考文献/References:

［1］邵群圆，林红娣.宫颈癌根治术后膀胱功能障碍发生情况和干预措施研究［J］.中国妇幼保健，2020，35（23）：4466-4469. ［2］曹泽毅.中华妇产科学［M］.北京：人民卫生出版社，2014：48．［3］邱淑琼.不同时机拔尿管与其拔尿管成功率及拔管后残余尿量的相关性研究［J］.实用妇科内分泌杂志（电子版），2017，4（28）：115-116. ［4］International Agency for Research on Cancer.Cancer Today -IARC，World Health Organization［EB/OL］.（2018-10）［2021-12-20］.http://gco.iarc.fr/today/fact-sheets-populations. ［5］BRAY F，FERLAY J，SOERJOMATARAM I，et al.Global cancer statistics 2018：GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries［J］.CA Cancer J Clin，2018，68（6）：394-424. ［6］李晓丹，王建六.宫颈癌根治术后尿潴留的预防研究进展［J］.护理研究，2017，31（2）：150-152. ［7］刘育松，黄浩.腹腔镜下保留神经的宫颈癌根治术现状及争议［J］.医学理论与实践，2019，32（8）：1145-1147. ［8］朱丹丹，李世军，黄丽璇，等.降低肾活检并发症发生率［J］.中国卫生质量管理，2018，25（2）：80-83，104.

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更新日期/Last Update: 2022-09-28