品管圈活动在小儿静脉输液风险管理中的应用

目的研究品管圈活动在小儿静脉输液风险管理中的应用效果。方法选取对该院2018年1-12月儿科病房进行静脉输液治疗的患者,随机分为两组:对照组2018年1-5月100例实施普通儿科护理常规,观察组2018年6-12月100例在观察组的基础上实施品管圈活动,对比两组患者家属满意度及两组患儿输液渗出发生情况及护理人员理论考试及操作成绩。结果外渗发生率降低,观察组为12.0%,对照组为26.0%,组间差异有统计学意义(χ^2=5.860,P=0.004)。家属满意度,观察组为94.0%,对照组为80.0%,组间差异有统计学意义(χ^2=4.332,P=0.037)。两组患者不同环节满意率比较:在环境舒适、流程便捷、服务态度、宣教等方面满意度均有提高。两组患者理论及操作考试成绩的比较:对照组分别为:(71.64±8.34)分、(79.06±10.26)分;观察组分别为:(91.26±4.57)分、(94.37±5.36)分,组间差异有统计学意义(t=6.157、4.087,P=0.000、0.000)。结论品管圈活动,在小儿静脉输液风险管理中的应用中,取得了良好的效果,值得推广。

Application of Quality Control Circle Activities in Pediatric Intravenous Infusion Risk Management

Objective To study the effect of quality control circle activities in the risk management of pediatric intravenous infusion. Methods Patients who were treated with intravenous infusion in the pediatric ward of the hospital from January to December 2018 were randomly divided into two groups: control group, 100 cases from January to May 2018 implemented general pediatric nursing routines. From June to December 2018, 100 patients in the observation group performed QC activities on the basis of the observation group. The satisfaction of family members of the two groups and the infusion occurrences of children and theoretical examinations and operating results of nursing staff in the two groups were compared. Results The incidence of extravasation decreased, 12.0% in the observation group, 26.0% in the control group,and the difference was statistically significant(χ^2=5.860, P=0.004), family satisfaction,the observation group was 94.0%, the control group was 80.0%,and the difference was statistically significant(χ^2=4.332, P=0.037). Comparison of the satisfaction rate of patients in the two groups in different aspects: satisfaction in environmental comfort, convenient procedures, service attitude, and education and other aspects have improved. Comparison of theoretical and operational test scores between the two groups of patients: the control group were:(71.64±8.34)points,(79.06±10.26)points;the observation group were:(91.26±4.57)points,(94.37±5.36)points,and the difference was statistically significant(t=6.157,4.087,P=0.000,0.000). Conclusion The quality control circle activity has achieved good results in the application of pediatric intravenous infusion risk management and is worth promoting.