摘要
目的探讨品管圈活动在降低患者经外周静脉置入的中心静脉导管(PICC)带管并发症发生率中的应用效果。方法由PICC专科小组医、护、技12名成员成立品管圈活动小组,严格按照品管圈十大活动步骤开展活动,并将活动前356例PICC带管患者与活动后387例带管患者导管留置期间并发症发生率、PICC专项护理质量及圈员的综合素质进行比较。结果品管圈活动实施后,患者PICC带管并发症发生率由实施前的15.73%降至5.68%(P<0.01)。PICC专科护理质量由实施前的(75.33±3.77)分提高至(92.33±2.52)分(P<0.05),圈员综合素质大幅度提升(P<0.05或P<0.01)。结论正确应用品管圈活动可有效降低PICC带管患者的并发症发生率,提升PICC专项质量及圈员的综合素质。
Objective To investigate the application effect of quality control circle in reducing the incidence of complications during patients with peripherally inserted central catheter （PICC）. Methods Total 12 members of doctors, rlurses and technicians in PICC specialist team set up the quality control circle group, they carried out the activities according to ten active steps of the quality control circle strictly. The incidence of complications during catheter keeping, the PICC special nursing quality and the comprehensive quality of circle members were compared between 356 patients with PICC before activities and 387 patients with catheter after the activities. Results After the implementation of the quality control circle activities, the incidence of complications in patients with PICC was reduced from 15.73% before implementation to 5.68% （P 〈 0.01）. The PICC special nursing quality was improved from （75.33±3.77） scores before implementation to （92.33±2.52） scores （P 〈 0.05）, and the comprehensive quality of circle members was improved evidently （P 〈 0.05 or P 〈 0.01）. Conclusion Appropriate application of quality control circle activities can effectively reduce the incidence of complications in patients with PICC, improve the PICC special nursing quality and the comprehensive quality of circle members.
出处
《中国医药导报》
CAS
2015年第35期126-131,共6页
China Medical Herald
基金
湖北省荆州市医疗卫生科技计划项目(20131PE1-12)
关键词
品管圈
经外周静脉置入的中心静脉导管
并发症
Quality control circle
Peripherally inserted central catheter
Complications
