Application of Research-Based Quality Control Circle in Setting a New Management Model and Complete Standardized Care for Continuous Bladder Irrigation After TURP

Abstract

Objective: To explore the application of research-based quality control circle in setting a new standardized nursing management model for continuous bladder irrigation after transurethral resection of prostate (TURP) surgery, and to provide theoretical basis and evidence-based support for standardizing the nursing management model of continuous bladder irrigation after TURP in the Department of Urology. Methods: A quality control circle was established, focusing on the existing common problems of continuous bladder irrigation. The methods include implementing appropriate measures and other steps, and comparing the incidences of bladder spasms and urinary catheter obstruction, patient satisfaction, nurses’ awareness of relevant knowledge, nurses’ operational satisfaction, number of liquid pours (6000ml per flush), and number of open exposures before and after the activity. Results: Through this quality control circle activity, the incidence of bladder spasms in patients dropped from 42% to 14.3%; the incidence of urinary catheter obstruction dropped from 36% to 12.2%; patient satisfaction increased from 82% to 95.9%; nurses’ knowledge awareness rate increased from 74.2% to 96.8%; nurses’ operational satisfaction increased from 80.6% to 96.8%; the above differences are statistically significant (P < 0.05). Moreover, the number of flushing liquid pours reduced from 5 times to 1 time, and the number of open exposures reduced from 5 times to 0 times. Circle members have improved their application of quality control circle methods, team spirit, and professional knowledge. Conclusion: The research-based quality control circle is suitable for setting a new standardized nursing management model for continuous bladder irrigation after TURP.