Objective To evaluate the effect of quality control circle(QCC)on improving compliance to ventilator-associated pneumonia(VAP)control measures.Methods 100 patients who were admitted to an intensive care unit (ICU)and with mechanical ventilation in January-December 2014 (control group)and 100 patients with mechanical ventilation in January-December 2015 (trial group)were selected with convenient sampling method.Trial group im-plemented QCC management method,compliance to VAP control measures and hand hygiene (HH)among HCWs before and after implementing QCC was compared respectively.Results Difference in compliance to each VAP con-trol measure between HCWs in trial group and control group was significant(all P <0.001 );compliance rate to all control measures in control group and trial group were 32.00% and 74.00% respectively(P <0.001 ).Compliance rate and qualified rate of HH among HCWs in control group were 29.14% and 42.50% respectively,trial group were 83.64% and 82.50% respectively,incidence of VAP in patients in control group and trial group were 10.00%and 2.00% respectively (all P <0.001).Conclusion QCC management has remarkable effect on improving bundle prevention strategy of VAP and HH compliance of HCWs,and can effectively reduce the incidence of VAP.%目的：探讨品管圈管理法提升呼吸机相关肺炎（VAP）控制措施依从性的效果。方法采用便利抽样法分别抽取2014年1—12月（对照组）和2015年1—12月（试验组）入住某院重症监护病房（ICU）并行机械通气的患者各100例，试验组采取品管圈管理法，比较实施品管圈前后 ICU 医务人员 VAP 控制措施和手卫生依从情况。结果试验组和对照组医务人员各项 VAP 控制措施依从率比较，差异均有统计学意义（均 P ＜0．001）；对照组所有措施全部执行的依从率为32．00％，试验组为74．00％，差异有统计学意义（P ＜0．001）。对照组医务人员手卫生依从率为29．14％，合格率为42．50％，患者 VAP 发生率为10．00％；试验组分别为83．64％、82．50％、2．00％，差异均有统计学意义（均 P ＜0．001）。结论品管圈管理法在提高医务人员 VAP 集束化预防策略和手卫生依从性方面效果显著，可以有效降低 VAP 的发生率。
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