在无偿献血过程中实施持续质量改进的效果观察  

Observation on the Effect of Continuous Quality Improvement in the Process of Free Blood Donation

作　　者：何丹丹 徐卫卫 季建兵 HE Dandan;XU Weiwei;JI Jianbing(Nantong Central Blood Station,Nantong 226001,China;不详)

机构地区：[1]南通市中心血站,江苏南通226001

出　　处：《中外医学研究》2020年第31期162-164,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨在无偿献血过程中实施持续质量改进的价值。方法:选取2018年1-12月800例无偿献血人员及14例护理人员作为对照组,2019年1-12月800例无偿献血者及14例护理人员作为观察组。对照组严格按照常规采血方式开展护理活动,观察组实施持续质量改进:成立质量改进小组、加强人员培训、完善采血过程中各项护理、构建动态督查机制。比较两组血站护理人员护理质量及无偿献血者临床指标。结果:观察组血站护理人员穿刺技术评分(16.83±2.04)分、献血环境评分(18.38±1.05)分、基础护理评分(17.79±1.85)分、专业技能评分(18.06±0.98)分及总分(71.06±5.92)分,分别高于对照组的(13.22±3.54)、(15.20±2.17)、(15.02±2.03)、(15.18±1.16)、(58.65±8.90)分(P<0.05)。观察组愿意再次无偿献血率76.00%、护理满意度99.63%,分别高于对照组的63.75%、97.00%(P<0.05);血液报废率0.88%、献血不良反应发生率1.50%,分别低于对照组的2.13%、7.38%(P<0.05)。结论:在血站开展持续质量改进模式,护理质量明显改善,能够确保采血质量,促使无偿献血人员对护理满意度明显提高。Objective:To explore the value of continuous quality improvement in the process of free blood donation.Method:A total of 800 free blood donors and 14 nurses from January to December 2018 were selected as the control group,and 800 free blood donors and 14 nurses from January to December 2019 were selected as the observation group.The control group carried out nursing activities in strict accordance with the routine blood collection,and the observation group carrieed out continuous quality improvement:set up a quality improvement group,strengthened personnel training,improved the nursing in the blood collection process,and built a dynamic supervision mechanism.The quality of nursing care and clinical indicators of free blood donors were compared between the two groups.Result:In the observation group,the score of puncture technique(16.83±2.04)points,blood donation environment score(18.38±1.05)points,basic nursing score(17.79±1.85)points,professional skill score(18.06±0.98)points and total score(71.06±5.92)points,which were respectively higher than(13.22±3.54)points,(15.20±2.17)points,(15.02±2.03)points,(15.18±1.16)points,(58.65±8.90)points in the control group(P<0.05).The observation group was willing to donate blood for free again at a rate of 76.00%,the nursing satisfaction of the observation group was 99.63%,which were respectively higher than 63.75% and 97.00% in the control group(P<0.05);the blood scrapping rate and incidence of blood donation adverse reactions in the observation group were 0.88% and 1.50%,lower than 2.13% and 7.38% in the control group respectively(P<0.05).Conclusion:The continuous quality improvement mode in blood station can markedly improve quality of care,ensure the quality of blood collection and improve the satisfaction of free blood donors.

关 键 词：无偿献血 持续质量改进 护理 应用价值 

分 类 号：R472[医药卫生—护理学]