Clinical evaluation of the application of QCC mode in ICU artificial airway nursing

Abstract

Objective To explore the clinical effect of Quality Control Circles(QCC) mode applied to ICU artificial airway nursing, and to provide optimal and efficient nursing service for ICU patients. Methods A total of 42 patients receiving artificial airway care from January to June 2017 were selected as the control group, and another 45 patients receiving artificial airway care from June to December 2017 were selected as the study group.The control group was given routine care in ICU, while the study group was given QCC mode in the nursing process.Adverse complications in each group were observed and recorded.The nursing service quality and patient satisfaction of each group were investigated.The nursing effect of each group was compared. Results The incidence of airway obstruction, cough, pulmonary infection, airway mucosal bleeding and other conditions in the study group was less than that in the control group, and the differences were statistically significant(P<0.05). The overall incidence of complications (8.89%) was significantly lower than that of the control group (33.33%). Besides, after the establishment of artificial airway, the formation of sputum scab at different time points and the daily sputum aspiration times, the occurrence of abnormal blood oxygen saturation and accidental tube removal were all lower than the control group, and the differences were statistically significant(P<0.05). After questionnaire survey, the nursing quality scores of the study group were significantly higher than those of the control group, and the differences were statistically significant(P<0.05). The satisfaction rate of patients to nursing staff was 95.56%, which was significantly higher than of the control group (69.05%), and the difference was statistically significant(P<0.05). Conclusions The implementation of the QCC mode during the nursing of patients with artificial airway in ICU wards can reduce the adverse stimulation and influence of artificial airway, improve the quality of nursing and nursing effect, reduce the risk of complications, improve the clinical efficacy, and benefit the patients' recovery. Key words: ICU ward; Artificial airway; Quality control circle; Nursing