应用品管圈降低早产儿PICC堵管率的效果观察  

Effect observation of Quality Control Circle for decreasing PICC tube-blocking rate in premature births

作　　者：贺万香[1] 梁迎盈[1] 路鑫[1] 

机构地区：[1]北京大学深圳医院新生儿科,广东518036

出　　处：《齐齐哈尔医学院学报》2015年第6期886-889,共4页Journal of Qiqihar Medical University

摘　　要：目的开展品管圈活动(QCC)降低早产儿PICC堵管率,并评估效果。方法选取我科2012年1—11月早产儿PICC置管76例作为对照组,选取2013年1—11月品管圈活动实施后置管的早产儿91例作为实验组。比较活动前后非计划拔管率、堵管率及圈员自评分,评估活动效果。结果实行QCC后,早产儿PICC非计划拔管率由活动前14.86%降至活动后4.40%(P<0.05),PICC堵管率由活动前10.81%降至活动后2.20%(P<0.05)。目标达成率为130.06%,进步率为79.6%。圈员自评分均较开展活动前显著提高(P<0.05)。结论应用QCC可提高护理服务质量,降低早产儿PICC堵管率。Objective To conduct a Quality Control Circle for decreasing the PICC tube-blocking rate in the premature births and evaluate the effect. Methods 76 premature births with PICC in our department from January to November in 2011 were selected as the control group, and 91 premature births with PICC in our department from January to November in 2012 after QCC was conducted were selected as the experimental group. The unplanned decannulation rate, the tube-blocking rate and self-evaluation scores of the QCC members before and after QCC were compared to evaluate the effect. Results As QCC was conducted, the unplanned decannulation rate of the premature births with PICC decreased from 10.81% to 2.20% （P 〈0. 05）, the tubeblocking rate decreased from 10.81% to 2.20% （P 〈0. 05）. The rate of target completion was 130.06% and the progress rate was 79. 6%. The self-evaluation scores of the QCC members increased significantly. Conclusions The application of QCC can improve nursing quality and decrease the PICC tube-blocking rate in the premature births.

关 键 词：早产儿 PICC 堵管率 品管圈 

分 类 号：R472[医药卫生—护理学]