品管圈活动在降低血液透析患者AVF扣眼穿刺硬结发生率中的应用

Application of QCC in Reducing the Incidence of Scleroma in AVF Buttonhole Puncture of Blood Dialysis Patients

目的:探讨品管圈活动(QCC)在降低血液透析患者动静脉内瘘(AVF)扣眼穿刺硬结发生率中的应用效果。方法:成立QCC小组,选定"降动AVF扣眼穿刺硬结的发生率"为活动主题,使用自制调查表与头脑风暴法,找出影响AVF扣眼穿刺硬结发生的关键原因,并制定对策,实施针对性护理措施。结果:开展QCC后,AVF扣眼穿刺硬结发生率由61.75%下降至15.44%(P<0.05)。结论:扣眼穿刺可以减少自体AVF血管瘤和狭窄的发生,在使用过程中会出现硬结的发生,从而导致扣眼祛痂不完整、穿刺点渗血、隧道炎性反应和感染、隧道闭合等并发症,严重影响了扣眼的使用寿命,通过开展QCC,降低AVF扣眼穿刺硬结的发生率,使扣眼的使用寿命得到延长,患者的透析质量和生活质量得到提高。

Objective:To investigate the application effect of quality control circle(QCC)in reducing the incidence of scleroma in AVF buttonhole puncture of blood dialysis patients.Methods:QCC group was established and selected"reduce the incidence of scleroma in AVF buttonhole puncture"as the theme.QCC group was used the self-made questionnaire and brainstorming to find out the key reason of the occurrence of scleroma in AVF the buttonhole puncture,and the countermeasures of the implementation of targeted nursing measures.Results:After the establishment of QCC group,the incidence of scleroma in AVF buttonhole puncture decreased from 61.75%to 15.44%(P<0.05).Conclusion:Buttonhole puncture can reduce the autologous AVF hemangioma and restenosis,but during the process,scleroma will occurred,resulting in incomplete scab removing and buttonhole puncture site bleeding,inflammatory reaction and tunnel infection,tunnel closure complications,seriously affecting the buttonhole life.The development of QCC can the incidence of scleroma in AVF buttonhole puncture,prolong the service life,and improve the quality of dialysis patients and the quality of life.