中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
5期
1060-1062
,共3页
品质管理圈( QCC)%小儿浅静脉留置针%临床效果%不良反应
品質管理圈( QCC)%小兒淺靜脈留置針%臨床效果%不良反應
품질관리권( QCC)%소인천정맥류치침%림상효과%불량반응
quality control circle ( QCC)%children superficial vein indwelling needle%clinical effect%adverse reaction
目的：探讨品质管理圈（品管圈，QCC）对提高小儿浅静脉留置针穿刺成功率的临床效果，及对留置针安全留置的影响。方法随机选择2013年6月至9月本院患儿430例，为观察组，实施QCC管理。同时选取2013年2月至5月实施QCC管理前的410例患儿为对照组，实施常规临床管理。观察两组患儿一次穿刺成功率、穿刺次数、置管留置时间及临床满意度，并观察不良反应结果。结果观察组一次成功率为96．74％（416／430），高于对照组，差异有统计学意义（χ2＝11．31，P＜0．05）；观察组平均穿刺次数为1．24±0．13次，低于对照组，差异有统计学意义（t＝9．74，P＜0．05）；观察组平均置管留置时间为4．79±0．21d，长于对照组，差异有统计学意义（t＝10．26，P＜0．05）；观察组临床满意度为97．65±8．32，高于对照组，差异有统计学意义（t＝10．77，P＜0．05）；观察组局部渗漏、非计划性脱管、导管堵塞和静脉炎分别为2．79％（12／430）、3．26％（14／430）、0．70％（3／430）和0．47％（2／430），均低于对照组，差异有统计学意义（χ2值分别为9．27、9．30、8．63、8．82，P＜0．05）。结论 QCC规范了浅静脉留置针操作，提高小儿浅静脉留置针穿刺成功率，延长浅静脉留置针安全留置时间，降低并发症的发生，提高了临床质量和满意度。
目的：探討品質管理圈（品管圈，QCC）對提高小兒淺靜脈留置針穿刺成功率的臨床效果，及對留置針安全留置的影響。方法隨機選擇2013年6月至9月本院患兒430例，為觀察組，實施QCC管理。同時選取2013年2月至5月實施QCC管理前的410例患兒為對照組，實施常規臨床管理。觀察兩組患兒一次穿刺成功率、穿刺次數、置管留置時間及臨床滿意度，併觀察不良反應結果。結果觀察組一次成功率為96．74％（416／430），高于對照組，差異有統計學意義（χ2＝11．31，P＜0．05）；觀察組平均穿刺次數為1．24±0．13次，低于對照組，差異有統計學意義（t＝9．74，P＜0．05）；觀察組平均置管留置時間為4．79±0．21d，長于對照組，差異有統計學意義（t＝10．26，P＜0．05）；觀察組臨床滿意度為97．65±8．32，高于對照組，差異有統計學意義（t＝10．77，P＜0．05）；觀察組跼部滲漏、非計劃性脫管、導管堵塞和靜脈炎分彆為2．79％（12／430）、3．26％（14／430）、0．70％（3／430）和0．47％（2／430），均低于對照組，差異有統計學意義（χ2值分彆為9．27、9．30、8．63、8．82，P＜0．05）。結論 QCC規範瞭淺靜脈留置針操作，提高小兒淺靜脈留置針穿刺成功率，延長淺靜脈留置針安全留置時間，降低併髮癥的髮生，提高瞭臨床質量和滿意度。
목적：탐토품질관리권（품관권，QCC）대제고소인천정맥류치침천자성공솔적림상효과，급대류치침안전류치적영향。방법수궤선택2013년6월지9월본원환인430례，위관찰조，실시QCC관리。동시선취2013년2월지5월실시QCC관리전적410례환인위대조조，실시상규림상관리。관찰량조환인일차천자성공솔、천자차수、치관류치시간급림상만의도，병관찰불량반응결과。결과관찰조일차성공솔위96．74％（416／430），고우대조조，차이유통계학의의（χ2＝11．31，P＜0．05）；관찰조평균천자차수위1．24±0．13차，저우대조조，차이유통계학의의（t＝9．74，P＜0．05）；관찰조평균치관류치시간위4．79±0．21d，장우대조조，차이유통계학의의（t＝10．26，P＜0．05）；관찰조림상만의도위97．65±8．32，고우대조조，차이유통계학의의（t＝10．77，P＜0．05）；관찰조국부삼루、비계화성탈관、도관도새화정맥염분별위2．79％（12／430）、3．26％（14／430）、0．70％（3／430）화0．47％（2／430），균저우대조조，차이유통계학의의（χ2치분별위9．27、9．30、8．63、8．82，P＜0．05）。결론 QCC규범료천정맥류치침조작，제고소인천정맥류치침천자성공솔，연장천정맥류치침안전류치시간，강저병발증적발생，제고료림상질량화만의도。
Objective To explore the clinical effect of quality control circle ( QCC) on improving the successful rate of children superficial vein indwelling needle puncture and the influence on safety of indwelling needle retention.Methods From June to September 2013 430 children were randomly selected in Guangxi Guilin Women ’ s and Children ’ s Hospital as observation group to implement QCC management.Another 410 children were randomly selected from February to May 2013 before the implementation of QCC management in control group receiving routine nursing management.The successful rate, puncture number, catheter indwelling time, nursing satisfaction degree and adverse reaction results were observed.Results The successful rate of the observation group was 96.74%(416/430), which was higher than that of the control group with significant difference (χ2 =11.31,P <0.05).The average puncture number of the observation group was 1.24 ±0.13, which was lower than that of the control group, and the difference was significant ( t=9.74,P<0.05).The average catheter indwelling time of the observation group was 4.79 ±0.21d, and it was longer than that of the control group with significant difference (t=10.26,P<0.05).The nursing satisfaction degree of the observation group was 97.65 ±8.32, which was significantly higher than that of the control group (t=10.77,P<0.05).The incidence of partial leakage, non-planned decannulation, conduit clogging and phlebitis of the observation group was 2.79% (12/430), 3.26% (14/430), 0.70% (3/430) and 0.47% (2/430), respectively, which was obviously lower than the control group (χ2 value was 9.27, 9.30, 8.63 and 8.82, respectively, all P<0.05).Conclusion QCC can standardize superficial vein indwelling needle, improve the successful rate of infantile venous indwelling needle puncture, prolong the indwelling needle time safety, reduce the incidence of complications and improve nursing quality and satisfaction degree.
