品管圈在降低腹膜透析患者腹膜炎发生率中的应用

Application of quality control circle on reducing the incidence of peritonitis among peritoneal dialysis patients

目的：探讨品管圈活动在降低腹膜透析患者腹膜炎发生率中的应用效果。方法选择2012年1—12月腹膜透析患者50例为对照组,2013年1—12月腹膜透析患者66例为试验组,两组患者均实施常规的护理,试验组在此基础上开展品管圈活动,成立品管圈活动小组,分析发生腹膜炎的原因、设定目标、制定对策并实施,比较实施品管圈活动前后两组患者腹膜炎发生率。结果开展品管圈活动后居家腹膜透析患者腹膜炎发生率从30.0%下降到7.5%,两组比较差异有统计学意义（χ^2=10.026, P〈0.01）。结论将品管圈活动应用于临床护理工作中,通过品管圈成员间的相互协作,找出和分析发生问题的原因、设定目标、制定对策并实施和效果评价等,可促进护理质量的持续改进。

Objective To evaluate the efficacy of quality control circle （ QCC） on reducing peritonitis rate in patients with peritoneal dialysis. Methods From January to November in 2012, 50 patients with peritoneal dialysis were chosen as the control group （before QCC）. During January to November in 2013,＆amp;nbsp;66 patients with peritoneal dialysis were selected for the experimental group （ after QCC） . Routine nursing was implemented in two groups, but QCC, which establish activity subject, investigate the reason of present situation, analysis the reason of peritonitis, set goals, develop strategies and implement, was carried out in the experimental group. We compared the differences between before and after the implementation of QCC activity in patients with peritonitis rates. Results The peritonitis incidence decreased from 30. 0% to 7. 5% in patients with peritoneal dialysis who carried out quality control circle at home, and there was statistically significant difference （χ^2 =10. 026,P 〈0. 01）. Conclusions we can promote the continuous improvement of nursing quality by cooperating between QCC members, find out and analyzing the cause of the problems, set goals, develop strategies and implementation, and perform the evaluation.