摘要
目的：探讨品质管理圈（品管圈，QCC）对提高小儿浅静脉留置针穿刺成功率的临床效果，及对留置针安全留置的影响。方法随机选择2013年6月至9月本院患儿430例，为观察组，实施QCC管理。同时选取2013年2月至5月实施QCC管理前的410例患儿为对照组，实施常规临床管理。观察两组患儿一次穿刺成功率、穿刺次数、置管留置时间及临床满意度，并观察不良反应结果。结果观察组一次成功率为96．74％（416／430），高于对照组，差异有统计学意义（χ2＝11．31，P＜0．05）；观察组平均穿刺次数为1．24＆#177;0．13次，低于对照组，差异有统计学意义（t＝9．74，P＜0．05）；观察组平均置管留置时间为4．79＆#177;0．21d，长于对照组，差异有统计学意义（t＝10．26，P＜0．05）；观察组临床满意度为97．65＆#177;8．32，高于对照组，差异有统计学意义（t＝10．77，P＜0．05）；观察组局部渗漏、非计划性脱管、导管堵塞和静脉炎分别为2．79％（12／430）、3．26％（14／430）、0．70％（3／430）和0．47％（2／430），均低于对照组，差异有统计学意义（χ2值分别为9．27、9．30、8．63、8．82，P＜0．05）。结论 QCC规范了浅静脉留置针操作，提高小儿浅静脉留置针穿刺成功率，延长浅静脉留置针安全留置时间，降低并发症的发生，提高了临床质量和满意度。
Objective To explore the clinical effect of quality control circle （ QCC） on improving the successful rate of children superficial vein indwelling needle puncture and the influence on safety of indwelling needle retention.Methods From June to September 2013 430 children were randomly selected in Guangxi Guilin Women ’ s and Children ’ s Hospital as observation group to implement QCC management.Another 410 children were randomly selected from February to May 2013 before the implementation of QCC management in control group receiving routine nursing management.The successful rate, puncture number, catheter indwelling time, nursing satisfaction degree and adverse reaction results were observed.Results The successful rate of the observation group was 96.74%（416/430）, which was higher than that of the control group with significant difference （χ2 =11.31,P 〈0.05）.The average puncture number of the observation group was 1.24 ±0.13, which was lower than that of the control group, and the difference was significant （ t=9.74,P〈0.05）.The average catheter indwelling time of the observation group was 4.79 ±0.21d, and it was longer than that of the control group with significant difference （t=10.26,P〈0.05）.The nursing satisfaction degree of the observation group was 97.65 ±8.32, which was significantly higher than that of the control group （t=10.77,P〈0.05）.The incidence of partial leakage, non-planned decannulation, conduit clogging and phlebitis of the observation group was 2.79% （12/430）, 3.26% （14/430）, 0.70% （3/430） and 0.47% （2/430）, respectively, which was obviously lower than the control group （χ2 value was 9.27, 9.30, 8.63 and 8.82, respectively, all P〈0.05）.Conclusion QCC can standardize superficial vein indwelling needle, improve the successful rate of infantile venous indwelling needle puncture, prolong the indwelling needle time safety, reduce the incidence of complications and improve nursing quality and satisfaction degree.
出处
《中国妇幼健康研究》
2015年第5期1060-1062,共3页
Chinese Journal of Woman and Child Health Research
