品管圈活动在降低维持性透析患者动静脉内瘘并发症中的应用

The Effect of Quality Control Circle in Reducing Arteriovenous Fistula Complications of Maintenance Hemodialysis Patients

目的探讨品管圈活动在降低维持性透析患者动静脉内瘘并发症发生率中的作用。方法选择2012年1月-2013年12月维持性血液透析患者190例，将其分为2组，80例为对照组，110例为实验组。对照组采取动静脉内瘘常规护理；实验组在常规护理的基础上开展品管圈活动，分析动静脉内瘘并发症发生的原因，确定目标、制订对策并实施，比较2组患者动静脉内瘘并发症的发生率。结果对照组动静脉内瘘并发症的发生率为19．3％，实验组动静脉内瘘并发症的发生率为8．1％，2组比较差异具有统计学意义（P〈0．01）。结论品管圈活动不仅降低了维持性血液透析患者动静脉内瘘并发症的发生率，同时还增强了品管圈成员的团队协作精神和质量管理能力，适合在临床护理工作中推广应用。

Objective To explore the effect of quality control circle in reducing arteriovenous fistula complications of maintenance hemodialysis patients. Methods 190 maintenance hemodialysis patients between January,2012 and December,2013 were randomly divided into control group （80 patients） and intervention group （ 110 patients）. The routine nursing methods were given to the two groups;and quality control circle were given to the patients of the intervention group. Compare the incidence of arteriovenous fistula complications between the two groups. Results The incidence of arteriovenous fistula complications of the intervention group（ 19.3% ） were lower than that of the control group （ 8.1% ）, （ P 〈 0.01. Conclusion Quality control circle can reduce arteriovenous fistula complications of maintenance hemodialysis patients and improve team spirit and management ability of quality control circle members.