Application of quality control circle on oral administration after oral cancer surgery

Abstract

Objective To discuss the effect of quality control circle activities in the oral administration process after oral cancer surgery. Methods The QCC was established and built up the theme of 'The decrease of the incidence of wound infection in the mouth after oral cancer surgery’ to investigate current status, set goals, and find the case from people, objects and rules. All information collected had been analyzed and demonstrated to confirm the main factors, and the corresponding measure was made out and implemented. A total of 104 oral cancer patients had been chosen before QCC establishment as control group during December 2011 to August 2012 while 107 oral cancer patients were as the experimental group after QCC establishment September 2012 to May 2013. We utilized self-designed questionnaire to explore patients′ subject feeling, nursing evaluation and oral secretion of bacteria culture, and compared the improvement of oral infection and nurse′s operation skill before and after measures implementation. Results The oral infection rate was 8.41% in the experimental group comparing with 18.27% of the control group (χ2=4.453, P<0.05), while oral comfort of experimental group was higher than that of control group after operation (χ2=47.766, P<0.01). Similarly, the kakostomia presented 7 cases before QCC establishment comparing with 11 cases after QCC establishment (χ2=8.783, P<0.01). After QCC activities, the assessment of nursing oral knowledge and practice skills acquired (93.07±3.55), (94.27±3.58) scores higher than (84.56±2.78), (86.01±4.55) scores before QCC activities (t=-7.782, -5.882; P<0.01). Conclusions The QCC activities can offer clean and comfortable oral nursing for the patients, improve the nursers′ operations techniques, and reduce the possibility of oral inflammation. Key words: Oral cancer; Nursing care; Quality control circle; Incidence of oral wound infection