CAJ | 학술논문

目的：探讨品管圈活动在提升化疗患者PICC （peripherally inserted central catheters，经外周静脉置入中心静脉导管）护理品质中的作用。方法：成立品管圈，确定以“提升PICC 护理品质，确保化疗药物安全输入、减少并发症”为主题的活动。随机对活动前后两组共156例进行化疗的恶性血液病患者进行全面的调查分析，找出PICC在使用及护理过程中存在的问题及原因，制订相应的整改措施并组织实施。结果：开展品管圈活动后，化疗患者行PICC穿刺一次成功率由84.62％上升到96.15％；因PICC护理不当造成的静脉炎、导管堵塞以及感染等并发症也明显减少。结论：“品管圈”活动能有效地提高PICC护理水平，确保化疗药物的安全输入，值得推广。
목적：탐토품관권활동재제승화료환자PICC （peripherally inserted central catheters，경외주정맥치입중심정맥도관）호리품질중적작용。방법：성립품관권，학정이“제승PICC 호리품질，학보화료약물안전수입、감소병발증”위주제적활동。수궤대활동전후량조공156례진행화료적악성혈액병환자진행전면적조사분석，조출PICC재사용급호리과정중존재적문제급원인，제정상응적정개조시병조직실시。결과：개전품관권활동후，화료환자행PICC천자일차성공솔유84.62％상승도96.15％；인PICC호리불당조성적정맥염、도관도새이급감염등병발증야명현감소。결론：“품관권”활동능유효지제고PICC호리수평，학보화료약물적안전수입，치득추엄。
Objective:To explore the role of quality control circle (QCC)in improving the care quality of peripherally inserted central catheters in chemotherapy patients.Methods:We set up a team of quality con-trol circle,identified the theme of the project as"improving the quality of PICC nursing ,ensuring safe infu-sion of chemotherapeutic agents and reducing complications".1 56 patients of hematological malignant disease administrated with chemotherapeutic agents were randomly divided into 2 groups for comprehensive investiga-tion and analysis.After problems were found out in the course of PICC nursing,we established and implemen-ted improvement measures.Results:During the progression of QCC,the ratio of successful puncture was in-creased from 84.62% to 96.1 5% in patients administrated with chemotherapeutic agents.The occurrence of complications was obviously decreased,such as phlebitis,catheter clogging and infection.Conclusion:It was obvious that the nursing level of peripherally inserted central catheters was improved by means of quality control circle,which secured infusion of chemotherapeutic agents.Therefore,the application of QCC deserves promotion.