品管圈在降低血液透析患者非计划性拔管中的应用效果观察

Application Effect of Quality Control Circle in Reducing the Non Planned Extubation of Hemodialysis Patients

目的探索品管圈(QCC)对降低血液透析患者中心静脉导管非计划性拔管率的应用效果。方法成立QCC确定"降低血液透析患者导管非计划性拔管率"为活动主题,运用QCC方法开展活动,对安置临时双腔导管后维持血液透析的患者进行现状调查、主要原因分析、制定相应的整改措施,运用PDCA质量环的原则进行对策的实施效果确认和持续改进。结果应用QCC活动后血液透析患者导管非计划性拔管率由活动前的(6.67%)降至活动后的(2.0%),差异有统计学意义(P<0.05)。工作团队素质和患者满意度都有一定程度提高,差异有统计学意义(P<0.05)。结论开展QCC活动不仅降低了血液透析患者导管非计划性拔管率,还提高了团队素质和患者满意度。

Objective To investigate the effect of improving quality control circle in reducing of the unplanned extubation rate of central venous catheter. Methods The reducing of unplanned extubation rate of central venous catheter was as the theme, investigation, cause analyzing and making strategies were used in establishing quality control circle. The countermeasures＇ effect and continuous improvement were implemented according to principles of PDCA circulation. Results After the quality control cir- cle,the unplanned extubation rate of central venous catheter reduced from6. 67% before the activity to 2. 0%. The difference was statistically significant（P 〈 0. 05 ）. The quality of the whole team and the satisfaction of patients also improved （P 〈 0. 05 ）. Con- clusion Promoting the activity of quality control circle can not only reduce the unplanned extubation rate of central venous cathe- ter, but also improve the quality of the whole team and the satisfaction of patients.