品管圈活动在降低妇科住院患者PICC堵管率中的应用研究

Activities of quality control circle for decreasing incidence of catheter-blocking of PICC in inpatients at gynecological department

目的探讨品管圈活动（QCC）对堵管率的影响，以寻求有效降低住院患者经外周中心静脉置管堵管的护理方法。方法通过开展品管圈活动，分析导致住院患者堵管原因，利用QCC手法找出主要原因，进行分析并进行护理干预。结果活动前患者堵管发生率为17．1％，活动后患者堵管发生率为7．0％，降幅率为59．1％，无形结果也得到了提高。结论护理活动可有效降低患者PICC堵管的发生率，是提高护理质量的有效途径之一，同时护理队伍的凝聚力也得到了提高。

Objective To explore the influence of the activities of quality control circle（QCC） on the blocking rate of peripherally inserted central catheter （PICC） and to find some effectively nursing methods for reducing blocking of PICC in inpatients. Methods The activities of QCC were carried out. The reasons causing catheter-blocking in inpatients were analyzed. The main reasons were found out through QCC and analyzed; and nursing intervention was taken accordingly. Results The incidence of catheter-blocking decrease from 17.1% before the activity to 7.0% after the activity, with a decline rate of 59.1% and intangible results were also improved. Conclusions Nursing care can effectively reduce the incidence of blocking of PICC and is an effective way for improving nursing quality and the cohesion of nursing team.