运用品管圈降低腹膜透析患者导管并发症分析

目的探讨品管圈对提高腹膜透析（简称：腹透）患者透析管维护质量、降低导管相关并发症发生率的作用。方法按品管圈理论进行现状把握、计划拟定、目标设定、要因分析、对策拟定、实施检讨、效果确认、标准化。结果导管堵塞,移位,管周渗漏,相关感染等发生率均下降,且前后差异具有统计学意义（P〈0.05）。结论品管圈可以提高透析管维护质量,降低透析管相关并发症发生率;具有主动管理的优点,能够更好地促进临床实际问题的解决,促进透析管维护管理制度、标准化操作流程的建立和完善。

Using QCC to Reduce Peritoneal Dialysis Catheter Related Complications

Objective To explore the effect of application of Quality Control Circle（ QCC） to improve the quality of maintaining catheter in peritoneal dialysis patients and reduce the rate of catheter related compilation.Methods according to the QCC theory to master states,formulate plans,set goals,analysis,make decisions,review implementation confirm the effect and standardize procedure. Results The rates of catheter occlusion,drift,leakage,infection were lower in QCC group thou in non- QCC group（ P 0. 05）. Conclusions using the QCC to protect and manage the dialysis catheter is good for improving the quality of dialysis tube and reducing the incidence of catheter related compilations. It has the advantage of managing actively,and is a benefit to resolve some denial problems. It is able to contribute to the establishment and improvement of peritoneal dialysis standard operating procedure.