品管圈在肿瘤科经外周置入中心静脉导管质量控制中的应用效果

目的 探讨品管圈(QCC)在肿瘤科经外周置入中心静脉导管(PICC)质量控制中的应用效果。方法 成立品管圈小组,以“提高PICC置管成功率,降低PICC带管期间并发症,提高PICC质量”为目标主题。以品管圈实施前226例PICC置管患者设为对照组,品管圈实施后215例PICC置管患者设为观察组,比较两组PICC置管患者一次置管成功率、带管期间并发症发生率、护理人员PICC相关理论知识及操作技能掌握情况、患者满意度变化。结果 品管圈实施后,对照组与观察组患者一次置管成功率分别为85.84%和96.74%,带管患者PICC并发症发生率分别为31.42%和15.81%;护理人员PICC理论知识及操作技能考核均达优秀、患者满意度分别为91.59%和97.21%,两组各项指标比较均有统计学意义。结论 应用品管圈可以有效提高肿瘤科PICC一次置管成功率、降低PICC带管患者并发症发生率,提高患者满意度,提升肿瘤科PICC护理管理质量和护理人员的专业素养。

Application of quality control circle in quality control of peripherally inserted central catheters in oncology patients

Objective to investigate the application effect of quality control circle (QCC) in peripherally inserted central catheters (PICC) control of oncology.Methods The quality control circle group was established.The targets were “to improve the success rate of PICC catheterization,to reduce the complications during PICC and improve the quality of PICC”.226 patients with PICC tube were selected as control group without the implementation of QCC,and 215 patients with PICC tube were selected as observation group with the implementation of QCC.The success rate of tube insertion,the incidence of complications,the knowledge of PICC theory and operation skills,and the patient’s satisfaction in two groups were compared.Results After implementation of QCC,the success rate of tube placement at the first time in the control group and the observation group were 85.84% and 96.74% respectively.The incidence of PICC complications were 31.42% and 15.81% respectively.The PICC theoretical knowledge and operational skills of the nurses were excellent,and the satisfactions of patients were 91.59% and 97.21%.Conclusion The application of QCC could effectively improve the success rate of PICC catheterization at the first time,reduce the incidence of complications, improve patient’s satisfaction, and improve the quality of PICC nursing management and the professional accomplishment of nursing staff.