开展品管圈活动在静脉留置针新生儿中的应用效果

Application effect of QCC activities on the occurrence of neonatal phlebitis and nurses′knowledge of venous indwelling needle

目的探讨品管圈(QCC)活动在静脉留置针新生儿的应用效果。方法选择2018年3月~2019年3月于广东省江门市人民医院静脉留置针穿刺输液的患儿103例与同期护理人员25例为对照组,采用常规护理干预;选择2019年4月~2020年4月于广东省江门市人民医院静脉留置针穿刺输液的患儿103例与同期护理人员25例为观察组,采用QCC活动干预。观察并比较两组的静脉炎发生情况,于干预7 d后评估护理人员对静脉留置针相关知识掌握情况,调查家属的护理满意度。结果观察组的静脉炎发生率为0.97%,低于对照组的7.77%,差异有统计学意义(P<0.05)。观察组护理人员干预7 d时静脉留置针知识认知水平的血管情况评估为(22.15±2.03)、静脉留置针操作为(22.32±2.01)、静脉留置针日常维护为(22.37±2.21)、并发症预防护理为(22.52±2.23)分、总分为(88.79±5.64)分,均高于对照组的(18.97±2.34)、(20.18±2.02)、(20.35±2.12)、(20.28±2.16)分、(80.56±5.42)分,差异有统计学意义(P<0.05)。观察组家属的护理总满意度为97.09%,高于对照组的87.38%,差异有统计学意义(P<0.05)。结论QCC活动干预在静脉留置针新生儿应用效果良好,能减少静脉炎发生,提升护理人员对静脉留置针知识的掌握度,提高护理满意度。

Objective To explore the application effect of quality control circle(QCC)in newborns with venous indwelling needle.Methods From March 2018 to March 2019,103 children with intravenous indwelling needle puncture and infusion and 25 nursing staffs in Jiangmen People′s Hospital,Guangdong Province were selected as the control group,and routine nursing intervention was used;103 children with venous indwelling needle puncture and infusion in from April 2019 to April 2020 and 25 nursing staffs in Jiangmen People′s Hospital,Guangdong Province the same period were selected as the observation group,and QCC activity intervention was used.The incidence of phlebitis was observed and compared between the two groups.Seven days after the intervention,nurses′knowledge of venous indwelling needle was evaluated,and the family members′total satisfaction with nursing was investigated.Results The incidence of phlebitis in the observation group was 0.97%,which was lower than that in the control group(7.77%);the scores of vascular condition assessment was(22.15±2.03),the operation of venous indwelling needle was(22.32±2.01),the routine maintenance of venous indwelling needle was(22.37±2.21),prevention and nursing of complications was(22.52±2.23)and total score was(88.79±5.64)points,which was higher than those of the control group of(18.97±5.64),(20.18±2.02),(20.35±2.12),(20.28±2.16),(80.56±5.42)points,the differences were statistically significant(P<0.05).The nursing total satisfaction of family members was 97.09%,which was higher than 87.38%of the control group,the difference was statistically significant(P<0.05).Conclusion QCC activity intervention in venous indwelling needle neonatal application effect is good,can reduce the incidence of phlebitis,improve nursing staff on venous indwelling needle related knowledge,improve nursing satisfaction.