品管圈活动在降低肿瘤患者静脉留置针非计划拔管率的应用

Application of quality control circle activities in reducing unplanned extubation rate of venous indwelling needle in patients with tumor

目的探讨开展品管圈(QCC)活动对降低肿瘤患者静脉留置针非计划拔管率的影响。方法选择在我院肿瘤科住院并行静脉留置针患者382例,以未实行QCC活动期间收治的200例患者为对照组,以实施QCC活动期间收治的182例患者为试验组,比较两组临床效果。结果试验组患者的非计划拔管率为18.7%,明显低于对照组的42.5%(P<0.01)。开展品管圈活动后,护理人员的品管手法、解决问题的能力、责任心、沟通协调能力、自信心、团队精神、积极性等7个方面的能力得到了明显提升。结论开展品管圈活动能有效降低肿瘤患者静脉留置针非计划拔管率,同时可提升护理人员解析问题的能力,增强积极性、责任心和团队凝聚力,提高护理人员的工作效率。

Objective To explore the impact of QCC activities on reducing the rate of unplanned extubation of intravenous catheter in patients with cancer.Methods A total of 382 cases of patients with intravenous catheterization in oncology department of our hospital were selected,among which,200 cases who admitted before QCC activities implementation were set as conctol group,while 182 patients admitted after QCC activities implementation were set as experimental group.The clinical effects were compared between the two groups.Results The unplanned extubation rate in the experimental group was 18.7%,which was significantly lower than 42.5%in the control group(P<0.01).After carrying out the QCC activities,the ability of nurses in quality control,problem solving,responsibility,communication and coordination,self-confidence,teamwork and enthusiasm had significantly improved.Conclusion QCC activities can effectively reduce the non-planned intravenous catheter extubation rate of tumor patients,enhance the problem analysis ability of the nursing staff,increase team cohesion,nursers',sense of responsibility and enthusiasm,and improve the efficiency of nursing staff.