摘要
目的 探讨品管圈活动在降低血液透析患者内瘘穿刺渗血发生率中的应用效果.方法 选择广东省第二人民医院肾内科2012年1-6月规律血液透析患者36例,设为品管圈活动前;2012年7-12月,同组规律血液透析患者36例,设为品管圈活动后.肾内科内部6名护士自愿组成一个“圈”,确立“降低血液透析患者内瘘穿刺渗血发生率”为活动主题,对活动前血液透析过程中内瘘穿刺渗血的发生率及原因进行统计、分析,并制订和落实整改措施.比较实施品管圈活动前后内瘘穿刺渗血发生率.结果 应用品管圈活动后血液透析过程中内瘘穿刺渗血发生率（3.76％）较活动前（7.66％）明显降低,超出了预期目标,差异有统计学意义（x2=20.634,P＜0.05）.结论 开展品管圈活动不仅降低了血液透析患者内瘘穿刺渗血的发生率,同时还提高了圈员的专业技术水平和质量管理能力,促进了血液透析质量持续改进.
Objective To probe into the application effect of quality control circle （QCC） activity in reducing the incidence rate of fistula puncture bleeding in hemodialysis patients.Methods Thirty-six hemodialysis patients in our hospital from January to June 2012 were chosen as the control group （before the QCC activity） ; 36 hemodialysis patients with the same rule in 1 group from July to December 2012 were chosen as the experiment group （after the QCC activity）.Six nurses from nephrology volunteer to group a ＂circle＂ in order to build-up the QCC activity with the subject of reducing the blood exudation rate during hemodialysis fistula piercing.Before the QCC activity,the data of blood exudation rate was calculated,and the root cause of blood exudation was analyzed during hemodialysis fistula piercing; then the improvement plan was made-up,and the counter measure was implemented.The blood exudation rate during hemodialysis fistula piercing was compared before and after the QCC activity.Results The incidence rate of fistula puncture bleeding after QCC activity was 3.76％,was lower than 7.66％ before the QCC activity,and was better than the origin target,and the differences were statistically significant （x2 =20.634,P ＜ 0.05）.Conclusions The implementation of QCC activity is not only benefit to reducing the incidence rate of fistula puncture bleeding in hemodialysis patients,but also is good at circle members＇ professional technical level and quality management capability,promote the quality improvement of hemodialysis.
出处
《中华现代护理杂志》
2013年第29期3621-3624,共4页
Chinese Journal of Modern Nursing
