摘要
目的探讨品管圈活动在降低静脉采血后皮下淤血发生率的应用效果。方法成立"降低静脉采血后皮下淤血发生率"品管圈,通过现况调查,制定目标,提出整改措施,按品管圈程序开展实施前后分析效果。结果针对主要原因,采取相应措施后,出现瘀血人数6例,其中,护理技术操作问题造成的瘀血人数为1例;患者因素造成瘀血人数为5例;其中按压时间不够的有3例;按压位置不正确的有2例。静脉瘀血率由4.58%降至1.26%达到预期目标,有统计学差异(P<0.05)。品管圈活动实施前护理满意度为79.17%,品管圈活动实施后护理满意度明显提高为97.47%,且两组比较差异有统计学意义(P<0.05);品管圈活动实施前后共出现皮下瘀血者28例,其中止血带使用时间>1分钟、抽血管数≥5管、同一部位反复穿刺等因素作组间比较,差异有统计学意义(P<0.05)。结论开展品管圈活动不仅降低了静脉采血后皮下淤血发生率,提高了患者静脉采血成功率,而且还促进了品管圈成员自身素质的提高以及建立和谐的护患关系。
Objective To explore the effect of quality control activities on the incidence of subcutaneous congestion after intravenous blood collection.Methods The"reduce the incidence of subcutaneous congestion after intravenous blood collection"quality control circle was established,through the current situation investigation,the goals were setted,corrective measures were putted forward.According to the quality control procedures,the analysis results before and after the implementation were analyzed.Results For the main reason,after taking the corresponding measures,the number of blood stasis was6people,among them,the number of blood stasis caused by nursing technique operation was1.The number of patients caused by blood stasis was5people,including3people with not enough time and2people pressing the position not correct.The rate of venous stasis decreased from4.58%to1.26%to the desired target.There was significant difference(P<0.05).The satisfaction degree of nursing care before and after the implementation of quality control activities was79.17%,and the satisfaction rate of nursing group was97.47%,and the difference between the two groups was statistically significant(P<0.05)There were28cases of subcutaneous blood stasis,including the use of tourniquet>1minute,the number of blood vessels≥5tube,the same part of the repeated puncture and other factors for the comparison between groups,the difference was statistically significant(P<0.05).Conclusion The activities of quality control circle not only can reduce the incidence of subcutaneous congestion after intravenous blood collection,improve the success rate of vein blood collection,but also promote the quality improvement of quality control members and the establishment of harmonious nurse-patient relationship.
作者
曾丽媚
曾丽葵
陈素霞
ZENG Limei;ZENG Likui;CHEN Suxia(Surgery, Pingshan People's Hospital, Guangdong, Shenzhen 518000, China)
出处
《中国医药科学》
2017年第11期117-119,127,共4页
China Medicine And Pharmacy
关键词
品管圈活动
静脉采血
皮下淤血
Quality control circle activity
Venous blood collection
Subcutaneous congestion
