品管圈活动对降低外周静脉补钾患者局部疼痛发生率的效果分析

Analysis of the effect of quality control circle activities on reducing the incidence of local pain of peripheral intravenous potassium supplementation

目的分析实施品管圈活动对降低外周静脉补钾患者局部疼痛发生率的效果。方法2021年12月广州医科大学附属第二医院感染科成立品管圈活动小组,将2022年1月至7月该院感染科外周静脉补钾患者124例作为对照组,男52例,女72例,年龄(48.03±17.96)岁,体质量(52.81±8.72)kg;2023年1月至6月外周静脉补钾患者94例作为观察组,男32例,女62例,年龄(51.39±18.98)岁,体质量(54.17±6.99)kg。两组外周静脉补钾患者均在补钾后5 min、10 min、30 min采用单维度疼痛量表——口头5点评分法(VRS-5)进行评分,对照组发生疼痛的患者进行常规护理,观察组发生疼痛的患者采取品管圈活动并持续质量改进后再次评估疼痛是否缓解,比较两组疼痛发生率并分析原因,制定改善对策。统计学方法采用χ^(2)检验、t检验。结果观察组局部疼痛发生率低于对照组[17.02%(16/94)比48.39%(60/124)],差异有统计学意义(χ^(2)=23.16,P<0.05)。结论品管圈活动能有效降低外周静脉补钾患者局部疼痛发生率,提高患者就医体验和满意度。

Objective To explore the effect of quality control circle activities on reducing the incidence of local pain of peripheral intravenous potassium supplementation.Methods A quality control circle activity group was established in December 2021 in the Second Affiliated Hospital of Guangzhou Medical University,and 124 patients undergoing peripheral intravenous potassium supplementation in our department from January to July 2022 were selected as the control group.There were 52 males and 72 females,aged(48.03±17.96)years,with a body mass of(52.81±8.72)kg.The current situation of pain incidence was investigated and the causes were analyzed by using a single dimension pain scale(oral 5-point scoring method),and the key points for improvement were determined.The target value was set and the countermeasures were formulated.Ninety-four patients undergoing peripheral intravenous potassium supplementation in our department from January to June 2023 were selected as the observation group.There were 32 males and 62 females,aged(51.39±18.98)years,with a body mass of(54.17±6.99)kg.The quality control circle activities were carried out and continuous quality improvement was made.The incidences of pain in the two groups were compared and the causes were analyzed.Statistical methods used were χ^(2) test and t test. Result The incidence of local pain in the observation group was lower than that in the control group [17.02% (16/94) vs. 48.39% (60/124)], with a statistically significant difference (χ^(2)=23.16, P<0.05). Conclusion Quality control circle activities can effectively reduce the incidence of local pain in patients undergoing peripheral intravenous potassium supplementation, and improve the patients' medical experience and satisfaction.