品管圈活动在降低血液透析患者动静脉内瘘皮下血肿发生率中的应用价值

目的：探讨品管圈活动在降低血液透析患者动静脉内瘘皮下血肿发生率中的应用效果。方法血透室内部10名护士自愿组成一个“圈”，确立“降低血液透析患者静动脉内瘘皮下血肿发生率”为活动主题，对活动前后血透透析患者动静脉内瘘皮下血肿发生率进行统计、分析，并制订和落实整改措施。结果实施品管圈活动后动静脉内瘘皮下血肿发生率显著低于活动前（P〈0.05）；各位成员的团队精神、专业知识、人际关系、护理品质意识与脑力开发等各项评分均显著高于实施品管圈活动前，差异有统计学意义（P〈0.05）。结论开展品管圈活动可降低血液透析患者动静脉内瘘皮下血肿发生率，延长动静脉内瘘的使用寿命，从而延长患者的生存时间，提高生存质量。

Application value on quality control circle activity in hemodialysis pa-tients with arteriovenous internal fistula in the incidence of subcutaneous hematoma

Objective To explore the application effect on quality control circle activity in hemodialysis patients with arteriovenous internal fistula in the incidence of subcutaneous hematoma. Methods Hemodialysis interior ministry 10 nurses voluntarily to form a ＂circle＂,establish ＂reduce static artery fistula in hemodialysis patients the incidence of subcutaneous haematomas＂ as the theme,the patients with arteriovenous fistula in subcutaneous hematoma incidence dialysis of activities before and after hemodialysis were counted,analyzed,and to formulate and implement corrective actions. Results The arteriovenous fistula in subcutaneous hematoma incidence after the implementation of quality con-trol circle activity was significantly lower than before （P〈0.05）.Members of the team spirit,professional knowledge,inter-personal relationship,the nursing quality consciousness and mental development and so on various scores were signifi-cantly higher than that of before the implementation of quality control circle activity, he difference was statistically sig-nificant （P〈0.05）. Conclusion To carry out quality control circle activities can reduce hemodialysis patients with arteri-ovenous fistula in subcutaneous blood kind of incidence,prolong the service life of arteriovenous internal fistula,thus prolonging the survival time,improve the quality of life of patients.