品管圈活动在降低肺癌患者PICC并发症发生率中的应用  

Application of quality control circle on reducing the incidence of complications related to PICC among lung cancer patients

作　　者：张京慧[1,2] 贺连香[3] 唐四元[1] 张彩兰[2] 卞秀梅[2] 胡僭苹[2] 

机构地区：[1]中南大学护理学院,长沙410008 [2]中南大学湘雅医院呼吸内科,长沙410008 [3]中南大学湘雅医院护理部,长沙410008

出　　处：《中华现代护理杂志》2015年第14期1616-1621,共6页Chinese Journal of Modern Nursing

基　　金：湖南省科技厅科技支撑计划资助课题（2014SK3093）

摘　　要：目的：探讨品管圈的应用对提升静脉治疗质量、降低 PICC 并发症发生率的效果。方法成立品管圈小组,以“降低PICC并发症发生率”为主题,进行现状调查、原因分析、目标设定、对策制定及实施、进一步效果确认及标准化。结果品管圈应用后,PICC总并发症发生率、堵管发生率、血栓发生率均较应用前降低,差异均有统计学意义（χ^2值分别为21.338,12.032,7.684；P〈0.01）。品管圈应用后,圈成员的品管手法、团队凝聚力、沟通协调能力、和谐度、工作积极性、自信心均较活动前提高,差异有统计学意义（P〈0.01）。结论应用品管圈能降低PICC置管并发症发生率、堵管及血栓发生率,促进静脉治疗质量持续改进,提高护士工作积极性和护士个人价值,提升团队凝聚力及沟通协调能力,值得临床推广。Objective To investigate the application of quality control circle （ QCC） intravenous therapy to enhance the quality and reduce the PICC complication rate. Methods Established QCC team and the theme of“Reduce the incidence of PICC complications”, we surveyed, analyzed, set goals, developed and implemented measures to further confirm the effectiveness and standardization. Results After QCC application, PICC overall complication rate, the incidence of plugging and thrombosis were significantly lower than before the application, the differences were statistically significant （χ^2 =21. 338,12. 032,7. 684;P〈0. 01）. After QCC application, quality control practices of QCC members, team cohesion, communication and coordination, degree of harmony, job motivation, self-confidence were higher than these of before activities （P 〈0. 01）. Conclusions The application of QCC can reduce overall complication rate of PICC plugging and thrombosis, and promote continuous intravenous therapy quality improvement, improved nurses motivation, personal values, team cohesion and communication skills. It is worthy of promotion.

关 键 词：品管圈活动 PICC 导管并发症 肺癌 

分 类 号：R473.73[医药卫生—护理学]