品管圈活动改善血液透析患者导管护理质量的效果  

Application of quality control circle on improvement of catheter nursing quality in hemodialysis patients

作　　者：毛海丽 张莉[2] 赵海燕[2] 

机构地区：[1]新疆医科大学第二附属医院血液透析室,乌鲁木齐830063 [2]新疆医科大学第二附属医院肾内科,乌鲁木齐830063

出　　处：《中华现代护理杂志》2015年第31期3744-3746,共3页Chinese Journal of Modern Nursing

基　　金：新疆医科大学科研创新基金资助项目（XJC201347）

摘　　要：目的 探讨品管圈活动对血液透析患者导管护理质量的影响. 方法 选取新疆医科大学第二附属医院肾内科患者60例,按照随机数字表法分为两组,每组各30例. 观察组进行品管圈活动,对照组未开展品管圈活动. 比较两组患者满意度问卷情况、导管外固定袋使用情况、护理人员能力及外瘘透析患者常见并发症发生情况. 结果 观察组患者满意率高于对照组,差异有统计学意义（P〈0. 01）;使用导管外固定袋的患者,对照组少于观察组,差异有统计学意义（P〈0. 05）;对照组并发症发生率高于观察组,差异有统计学意义（P〈0. 05）;品管圈护理人员的护理能力优于非品管圈的护理人员,差异有统计学意义（P〈0. 01）. 结论 在血液透析患者导管护理中应用品管圈活动,可提高患者满意度及护理人员护理能力,降低导管相关并发症发生率,值得临床进一步推广应用.Objective To investigate the effects of quality control circle （ QCC ） on improvement of catheter nursing quality in patients with hemodialysis. Methods A total of 60 patients were recruited in the Department of Nephrology of the Second Affiliated Hospital of Xinjiang Medical University. Patients were randomly allocated into QCC group （n=30） and control group （n=30）. The QCC activities were carried out in the QCC group without control group. It had been compared the questionnaire of patients′satisfaction, usage of catheter external fixed bag, nursing staff ability and common complications of external fistula. Results The satisfaction rate of the patients in the QCC group were higher than that of the control group （P〈0. 01）. The usage rate of catheter external fixed bags in QCC group was significantly higher than that of the control group （P〈0. 05）. The incidence of the common complications in QCC group was significantly lower than that of the control group （P〈0. 05）. The nursing ability of the nurses in QCC group was significantly better compared with control group （ P 〈 0. 01 ）. Conclusions The application of QCC on catheter nursing in patients with hemodialysis can significantly increase the satisfaction rate of the patients and the nursing ability of nurses, meanwhile, decrease the incidence of the common complications. Therefore, it is worthy for further clinical application.

关 键 词：肾透析 品管圈活动 导管护理 

分 类 号：R473.5[医药卫生—护理学]