品管圈活动对肿瘤患者经外周静脉血置入中心静脉导管术后护理不良事件的影响

Effect of quality control circle activity on the postoperative nursing adverse events of tumor patients after peripherally inserted central catheter

目的 探讨品管圈活动对肿瘤患者经外周静脉置入中心静脉导管(PICC)术后护理效果的影响。方法 将120例行PICC的肿瘤患者作为受试对象,采用随机数表法均分为研究组与对照组,每组60例。对照组予以常规PICC护理,研究组采用品管圈活动护理。比较干预前及干预2周后2组患者自我护理能力测定量表评分以及术后患者护理不良事件、并发症发生情况。结果 研究组患者导管脱落、导管破损、导管阻塞、感染、静脉炎、穿刺部位血肿发生率低于对照组,差异均有统计学意义(χ~2=8.107,P=0.004;χ~2=4.904,P=0.027;χ~2=5.886,P=0.015;χ~2=6.988,P=0.008;χ~2=5.926,P=0.015;χ~2=9.730,P=0.002)。干预2周后,研究组患者症状监测、康复锻炼、心理状态、医患交流等各项自我护理能力测定量表评分均较干预前升高,差异均有统计学意义(t=11.081,P<0.001;t=15.629,P<0.001;t=9.744,P<0.001;t=19.359,P<0.001);且明显高于对照组,差异均有统计学意义(t=8.973,P<0.001;t=12.709,P<0.001;t=8.659,P<0.001;t=19.010,P<0.001)。结论 品管圈活动应用于肿瘤患者PICC术后,可有效降低其护理不良事件及并发症发生率,提高患者自我护理能力。

Objective To explore the effect of quality control circle activity on the postoperative nursing adverse events of tumor patients after peripherally inserted central catheter(PICC). Methods All the 120 tumor patients undergoing PICC were taken as the test subjects, and were divided into the research group and the control group by random number table method, 60 patients in each group. The control group received routine PICC nursing, and the research group adopted quality control circle active nursing. The exercise of self-care agency scale scores of the two groups before and after 2 weeks of intervention. The nursing adverse events and complications between the two groups were compared within 2 weeks after surgery.Results Within 2 weeks after surgery, the incidences of catheter shedding, catheter damage, catheter obstruction, infection, phlebitis and hematoma at the puncture site in the study group were significantly lower than those in the control group(χ~2=8.107,P=0.004;χ~2=4.904,P=0.027;χ~2=5.886,P=0.015;χ~2=6.988,P=0.008;χ~2=5.926,P=0.015;χ~2=9.730,P=0.002). After 2 weeks of intervention, the exercise of self-care agency scale scores of the patients in the study group were significantly higher than before the intervention(t=11.081,P<0.001;t=15.629,P<0.001;t=9.744,P<0.001;t=19.359,P<0.001);and were significantly higher than the control group at the same time(t=8.973,P<0.001;t=12.709,P<0.001;t=8.659,P<0.001;t=19.010,P<0.001). Conclusion The application of quality control circle activity to PICC of tumor patients can effectively reduce the incidence of nursing adverse events and complications, and improve the self-care ability of patients.