品管圈在提高白内障日间手术患者术前有效散瞳率中的应用
Application of Quality Control Circle in Improving the Effective Dilation Rate of Cataract Patients Undergoing Day Surgery

目的：研究品管圈活动在增强白内障日间手术病人术前有效散瞳率的作用。方法：科室护理人员自发成立品管圈小组，小组成员根据科室日常护理问题提出主题清单，最终确定活动主题为：提高白内障日间手术患者术前有效散瞳率。从2023年2月1日到3月31日，我们对120例接受日间白内障手术的病人进行了筛查。将样本随机划分到实验组(60个样本)与对比组(60个样本)。对照组患者行常规术前散瞳方式，即术前三十分钟每5分钟滴散瞳剂(复方托吡卡胺滴眼液)一次；观察组患者纳入品管圈散瞳管理模式进行术前散瞳准备，即对白内障日间手术患者进行具体个体化散瞳分析，了解病人基础疾病、眼部情况，又根据手术顺序合理安排散瞳时间，采取卧位散瞳、术前30 min滴散瞳剂(复方托吡卡胺眼液)、术前精准测量，确保巡回护士交接时患者瞳孔达到标准范围。比较术中瞳孔达标率、术后并发症发生率、术后视力、患者满意度问卷调查，比较两组之间的差异。结果：有效散瞳率观察组(100%) > 对照组(90%)；术后并发症发生率观察组(3.33%) < 对照组(10%)；患者满意度观察组 > 对照组，差异均具有统计学意义(P < 0.05)。结论：品管圈活动散瞳管理模式能有效提升白内障日间手术患者术前有效散瞳率，能明显降低术后并发症，确保手术效果，提高患者满意度，值得在临床白内障日间手术患者术前有效散瞳中推广。
Objective: To study the effect of quality control circle activities on enhancing the effective dilation rate of patients undergoing daytime cataract surgery. Methods: The nurses of the department spontaneously set up a quality control circle group, and the members of the group proposed a theme list according to the daily nursing problems of the department, and finally determined the activity theme as: improving the effective dilation rate of cataract patients before day surgery. From February 1 to March 31, 2023, we screened 120 patients undergoing daytime cataract surgery. The samples were randomly divided into the experimental group (60 samples) and the comparison group (60 samples). The control group received conventional mydriasis before surgery, that is, mydriasis (compound tropicamide eye drops) was dropped every 5 minutes 30 minutes before surgery; Patients in the observation group were included in the quality control circle mydriasis management mode for preoperative mydriasis preparation, that is, specific individual mydriasis analysis was carried out on patients undergoing cataract daytime surgery to understand the underlying diseases and eye conditions of the patients, and mydriasis time was reasonably arranged according to the surgical order. Mydriasis was performed in the decubing position, mydriasis was dropped 30 min before surgery (compound tropicamide eye solution), and accurate measurement was performed before surgery. Ensure that the pupil range of the patient is within the standard range during the handover by the itinerant nurse. Intraoperative pupil compliance rate, postoperative complication rate, postoperative visual acuity and patient satisfaction questionnaire were compared, and the differences between the two groups were compared. Results: The effective mydriasis rate in the observation group (100%) was higher than that in the control group (90%). The incidence of postoperative complications in the observation group (3.33%) was lower than