CAJ | 학술논문

目的：开展品管圈活动（ QCC）降低早产儿PICC堵管率，并评估效果。方法选取我科2012年1—11月早产儿PICC置管76例作为对照组，选取2013年1—11月品管圈活动实施后置管的早产儿91例作为实验组。比较活动前后非计划拔管率、堵管率及圈员自评分，评估活动效果。结果实行QCC后，早产儿PICC非计划拔管率由活动前14．86％降至活动后4．40％（P＜0．05），PICC堵管率由活动前10．81％降至活动后2．20％（P＜0．05）。目标达成率为130．06％，进步率为79．6％。圈员自评分均较开展活动前显著提高（ P＜0．05）。结论应用QCC可提高护理服务质量，降低早产儿PICC堵管率。
목적：개전품관권활동（ QCC）강저조산인PICC도관솔，병평고효과。방법선취아과2012년1—11월조산인PICC치관76례작위대조조，선취2013년1—11월품관권활동실시후치관적조산인91례작위실험조。비교활동전후비계화발관솔、도관솔급권원자평분，평고활동효과。결과실행QCC후，조산인PICC비계화발관솔유활동전14．86％강지활동후4．40％（P＜0．05），PICC도관솔유활동전10．81％강지활동후2．20％（P＜0．05）。목표체성솔위130．06％，진보솔위79．6％。권원자평분균교개전활동전현저제고（ P＜0．05）。결론응용QCC가제고호리복무질량，강저조산인PICC도관솔。
Objective To conduct a Quality Control Circle for decreasing the PICC tube-blocking rate in the premature births and evaluate the effect.Methods 76 premature births with PICC in our department from January to November in 2011 were selected as the control group, and 91 premature births with PICC in our department from January to November in 2012 after QCC was conducted were selected as the experimental group. The unplanned decannulation rate, the tube-blocking rate and self-evaluation scores of the QCC members before and after QCC were compared to evaluate the effect. Results As QCC was conducted, the unplanned decannulation rate of the premature births with PICC decreased from 10.81% to 2.20%(P<0.05), the tube-blocking rate decreased from 10.81%to 2.20% (P<0.05).The rate of target completion was 130.06% and the progress rate was 79.6%. The self-evaluation scores of the QCC members increased significantly. Conclusions The application of QCC can improve nursing quality and decrease the PICC tube-blocking rate in the premature births.