品管圈活动对降低心导管术后患儿外周血管并发症发生率的有效性  

Effectiveness of quality control circle activity in reducing the incidence of peripheral vascular complications in children patients after cardiac catheterization

作　　者：王艳琴 张嫒 张琴[1] 蒲晓芳[1] WANG Yanqin;ZHANG Yuan;ZHANG Qin;PU Xiaofang(Children's Hospital of Chongqing Medical University,Chongqing,400014,China)

机构地区：[1]重庆医科大学附属儿童医院心血管科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆市400014

出　　处：《护理实践与研究》2022年第24期3660-3664,共5页Nursing Practice and Research

摘　　要：目的通过开展品管圈(QCC)活动,探讨其对降低心导管术后患儿外周血管并发症发生率的作用,促进术后护理安全管理。方法选取2019年6—7月开展QCC活动前的170例行心导管术的先天性心脏病(CHD)患儿作为对照组,2019年12月—2020年4月开展QCC活动后的175例行心导管术的CHD患儿作为观察组,比较QCC干预前后两组患儿外周血管并发症发生率。结果开展QCC活动后,观察组外周血管并发症发生率低于对照组,差异有统计学意义(P<0.05)。目标达成率为111.12%,进步率为75.71%。团队成员责任心、自信心、解决问题的能力、团队凝聚力、沟通协调能力、品管圈应用能力等方面均有明显的提升。结论通过开展QCC活动,可有效降低儿童心导管术后外周血管并发症发生率,切实保障儿童术后护理安全。Objective To reduce the incidence of peripheral vascular complications in children patients after cardiac catheterization,and the safety management of postoperative nursing was strengthened by carrying out quality control circle(QCC)activities.Methods A total of 170 children patients with congenital heart disease(CHD)undergoing cardiac catheterization from June to July 2019 were selected as a control group,and another 175 children patients with CHD undergoing cardiac catheterization from December 2019 to April 2020 were selected as an observation group.The incidence of peripheral vascular complications was compared between the two groups before and after the QCC intervention.Results The goal achievement rate was 111.12%,and the progress rate was 75.71%.The incidence of peripheral vascular complications in the observation group was lower than that in the control group,and the difference was statistically signifi cant(P<0.05).The team members'sense of responsibility,self-confi dence,ability to solve problems,team cohesion,communication and coordination ability,and application ability of the quality management circle have been signifi cantly improved.Conclusion The QCC activity can eff ectively reduce the incidence of peripheral vascular complications after cardiac catheterization in children patients,and eff ectively ensure the safety of postoperative care for children patients.

关 键 词：心导管术后 外周血管并发症 发生率 品管圈 有效性 

分 类 号：R473.72[医药卫生—护理学]