品管圈活动对降低白血病化疗后骨髓抑制期PICC不良事件的影响

Influence of QCC on Reducing PICC Adverse Events in Bone Marrow Suppression Period of Leukemia After Chemotherapy

目的探讨品管圈活动对于降低白血病化疗后骨髓抑制期患者PICC不良事件的影响。方法选取我院2012年1月至2012年12月以及2013年1月至2013年12月收治的白血病化疗后骨髓抑制期患者各40例为研究对象,品管圈活动(2013年1月举办)前收治的患者设为对照组,活动后收治的患者设为观察组。观察比较两组患者平均置管时间、一次性穿刺成功率、静脉炎和感染的发生情况。结果观察组一次性穿刺成功率显著高于对照组,静脉炎、感染、拔管的发生率显著低于对照组,平均置管时间显著长于对照组,差异均有统计学意义(P<0.05)。结论品管圈活动有利于降低白血病化疗后骨髓抑制期患者PICC局部感染的发生率和拔管率,提升护理质量,保证护理质量安全。

Objective To investigate the influence of quality control circle （QCC） on reducing PICC adverse events in bone marrow suppression period of leukemia after chemotherapy. Methods 40 cases of leukemia patients in bone marrow suppression period treated with chemotherapy in our hospital from January 2012 to December 2012 and 40 cases from January 2013 to December 2013 were selected. Patients before QCC （organized at January 2013） were set as control group, patients after QCC were set as observation group. The mean indwelling time, one-time success rate of puncture, incidence of phlebitis and infection in the two groups were compared. Results The one-time success rate of puncture in the observation group was higher than that in the control group, the incidence of phlebitis, infection and extubation was lower than that of the control group, the mean indwelling time was longer than that of the control group, with statistical difference （P〈0.05）. Conclusions For leukemia patients in bone marrow suppression period treated with chemotherapy, QCC is beneficial to reduce the incidence of PICC local infection and extubation, improve the quality of nursing and ensure the quality of nursing safety.