品管圈活动降低老年患者静脉重注率的效果观察

Effects of quality control circle in reducing the re-injection rate of intravenous infusion in elderly patients

目的探讨品管圈活动(QCC)对降低老年患者静脉重注率的效果。方法成立QCC小组,选定降低老年患者静脉重注率为主题,分析影响老年患者静脉重注率的相关因素,制定改进措施。选取2014年7月—8月开展QCC前的静脉穿刺输液患者1 106例为实施前组,选取2014年9月—10月开展QCC后的1 083例患者为实施后组,对比2组静脉重注率。结果实施后组老年患者静脉重注率显著低于实施前组(P<0.01)。除血管条件因素外,粘贴不牢自行脱落、活动幅度过大致外渗、护士技术水平差、针头堵塞原因引起的静脉重注率均低于实施前(P<0.05)。结论 QCC的开展有效降低了老年患者静脉重注率。

Objective To investigate the effect of quality control circle （QCC） in reducing the re-injection rate of intravenous infusion in elderly patients. Methods To set up the QCC team fo- cusing on reducing the re-injection rate of intravenous infusion in elderly patients, and to formulate the countermeasures based on influence factors analysis. A total of 1 106 elderly patients undergoing intrave- nous infusion between July 2014 and August 2014 were included as the pre-implementation group, anoth- er 1 083 patients between July September and October 2014 were recruited as the post-implementation group. The re-injection rate of intravenous infusion between two groups was compared. Results The re- injection rate was lower in the post-implementation group than that in the pre-implementation group （P 〈0.01 ）. The re-injection rate referring to insecure die obstruction was lower in the post-implementation （P 〈 0.05 ）. Conclusion Application of QCC can nous infusion in elderly patients dressing , over activity, poor nursing skills, nee- group than those in the pre-implementation group effectively reduce the re-injection rate of intrave-