品管圈活动对提高传染病医院慢性肝病患者留置针临床应用依从性的效果观察

摘要

Objective To study the role of QCC (quality control circle) activity in decreasing the application of the scalp steel needle and increasing the compliance of application of the peripheral venous indwelling needle in the infectious disease hospital. Methods To set up the quality control circle activity group, with the aim to turn the use of Scalp steel needles into the use of peripheral venous indwelling needle by exploring and analyzing certain factors that may interfere with the application of peripheral venous indwelling needle, then made corresponding treasures and put them into effect. Meanwhile, we carried out casual inspections on the use of peripheral venous indwelling needle with effectively consolidate measures. Results After the activities of QCC, the proportions of daily using scalp steel needle and peripheral venous indwelling needle respectively decreased and increased remarkably. Satisfaction degree toward the operation of intravenous infusion improved remarkably, the difference was statistically significant (P < 0.001). In the meantime, owing to the activities of QCC, the nurses manifested an improved intravenous infusion technology and better team spirit and abilities of communication and coordination. conclusions The activities of QCC can effectively improve the number of applications of the peripheral venous indwelling needle and enhance the patient satisfaction degree.%目的：探讨品管圈活动对传染病医院减少头皮钢针使用提高外周静脉安全留置针穿刺依从性的效果观察。方法成立品管圈活动小组，选定减少头皮钢针使用提高外周静脉安全留置针穿刺为活动主题，对活动前影响外周静脉安全留置针的使用原因进行分析，制定相应的整改措施并组织实施。对外周静脉安全留置针的使用进行不定期检查，并采取有效的巩固措施。结果活动前后每日应用头皮钢针静脉输液患者比例较前明显下降，应用留置针静脉输液患者比例较前增加。患者对静脉输液满意度较前明显提高，差异有统计学意义（P ＜0.001）。品管圈活动后护士静脉输液技术、团队精神、沟通协调能力较强明显提高。结论开展品管圈活动有效地提高了外周静脉安全留置针穿刺的数量，提高了患者满意度。