品质管理圈在血液透析中心护士手卫生管理中的应用

Application of Quality Control Circle in the Management of Hand Hygiene for Nurses in Hemodialysis Center

目的探讨品质管理圈(品管圈)活动在血液透析中心护士手卫生管理中的应用与效果。方法 2013年3月-2014年2月将品管圈活动应用于血液透析中心护士的手卫生管理中,分析血液透析中心护士手卫生遵从率与正确率的影响因素,制定相应对策并评估活动的效果。结果开展品管圈活动后,血液透析中心护士的手卫生遵从率由41.02%提高到88.46%,手卫生正确率由46.88%提高到91.30%,差异均有统计学意义(P<0.05)。同时,圈员在品管圈手法运用、团队精神、专业知识、沟通协调等方面均有不同程度的提升。结论推行品管圈活动不但可提高血液透析中心护士的手卫生遵从率与正确率,而且还能提升团队凝聚力,值得临床进一步推广。

Objective To investigate the application and effect of quality control circle （QCC） in the management of hand hygiene for nurses in hemodialysis center. Methods QCC was applied in the management of hand hygiene in hemodialysis center from March 2013 to February 2014. Factors affecting the compliance and correctness of hand hygiene in hemodialysis nurses were analyzed, and counter measurements were established and applied. Moreover, effect of QCC management was also assessed. Results After the application of QCC, the compliance and correctness of hand hygiene in hemodialysis nurses increased significantly from 41.02% to 88.46% （P 〈 0.05） and 46.88% to 91.30% （P 〈 0.05）, respectively. Moreover, maneuver application, team spirit, professional knowledge, communication and cooperation among nurses were also increased by QCC management. Condusion The application of QCC can not only increase the compliance and correctness of hand hygiene in hemodialysis nurses but also improve team cohesiveness, which is worth recommendation and promotion.