品管圈活动在提高儿科输液室输液患儿静脉留置针使用率中的应用被引量：10

The application of quality control circle activities to improve the use rate of venous indwelling needle in pediatric infusion room

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摘要目的探讨、分析品管圈活动对儿科输液室输液患儿静脉留置针使用率的影响，以期为提高儿科输液室输液患儿静脉留置针使用率提供参考与借鉴。方法2016年1月8日，该科组织成立品管圈，以“提高儿科输液室患儿静脉留置针使用率”为品管圈活动主题；并以活动实施后收治的300例手背静脉、足踩部大隐静脉进行静脉留置针患儿为品管圈组，对其静脉留置针使用情况进行客观分析，针对存在的问题拟定相应对策并加以组织实施；同时，2015年7月6日～2016年1月5日间，未实施品管圈活动前300例行静脉留置针患儿为对照组；观察两组静脉留置针使用率。结果品管圈组静脉留置针穿刺成功率、留置针平均留置时间、意外拔除发生率以及患儿及家属满意度经统计学分析，结果均明显高于对照组（均P〈0．05）；同时，本次开展品管圈主题活动之后各项无形成果均经统计学分析，结果也明显高于活动之前（均P〈0．01）。结论品管圈活动可以有效激发护理人员的工作激情、创造性思维，对提高其工作效率具有积极作用；同时，在儿科输液室实施品管圈活动则可以全面提升输液患儿静脉留置针使用率、延长留置时间，该模式极具临床推广价值。 Objective To explore and analyze the effect of quality control ＇circle activities on the use rate of intravenous indwelling needle in pediatric infusion room, so as to provide reference for improving the use rate of intravenous indwelling needle in pediatric infusion room. Methods On January 8, 2016, the quality control circle was set up, in the theme of ＂to improve the utilization rate of intravenous indwelling needle in pediatric infusion room＂. 300 cases of hand vein, foot step of great saphenous vein in children with intravenous indwelling needle after the activity were treated as the quality control circle group. Its usage of intravenous indwelling needle was objectively analyzed, and formulated the corresponding countermeasures for the existing problems and organize their implementation. At the same time, from July 6, 2015 to January 5, 2016, the children of 300 routine intravenous injection needles were treated as control group. The use rate of the intravenous needle of the two groups were observed. Results The success rate of catheter puncture, the retention time indwelling needle, the incidence of accidental removal and the statistical analysis of satisfaction of the patients and their families were significantly higher than those of the control group （P〈0. 05 ） . At the same time, the results of statistical analysis of the intangible results after the quality control circle activities were significantly higher than that before the activities （P〈0.01） . Conclusions Quality control circle activity can effectively stimulate the passion of work, and creativity, and has a positive effect on improving their work efficiency. At the same time, the implementation of quality control activities in the pediatric intravenous infusion room can fully enhance the use of intravenous catheter infusion for children and extend indwelling time. The model has great clinical value.