品管圈活動(dòng)在小兒靜脈輸液風(fēng)險(xiǎn)管理中的應(yīng)用

宋尚燕 張建霞

[摘要] 目的 研究品管圈活動(dòng)在小兒靜脈輸液風(fēng)險(xiǎn)管理中的應(yīng)用效果。方法 選取對(duì)該院2018年1—12月兒科病房進(jìn)行靜脈輸液治療的患者，隨機(jī)分為兩組：對(duì)照組2018年1—5月100例實(shí)施普通兒科護(hù)理常規(guī)，觀察組2018年6—12月100例在觀察組的基礎(chǔ)上實(shí)施品管圈活動(dòng)，對(duì)比兩組患者家屬滿意度及兩組患兒輸液滲出發(fā)生情況及護(hù)理人員理論考試及操作成績(jī)。結(jié)果 外滲發(fā)生率降低，觀察組為12.0%，對(duì)照組為26.0%，組間差異有統(tǒng)計(jì)學(xué)意義（χ2=5.860，P=0.004）。家屬滿意度，觀察組為94.0%，對(duì)照組為80.0%，組間差異有統(tǒng)計(jì)學(xué)意義（χ2=4.332，P=0.037）。兩組患者不同環(huán)節(jié)滿意率比較：在環(huán)境舒適、流程便捷、服務(wù)態(tài)度、宣教等方面滿意度均有提高。兩組患者理論及操作考試成績(jī)的比較：對(duì)照組分別為：（71.64±8.34）分、（79.06±10.26）分;觀察組分別為：（91.26±4.57）分、（94.37±5.36）分，組間差異有統(tǒng)計(jì)學(xué)意義（t=6.157、4.087，P=0.000、0.000）。結(jié)論 品管圈活動(dòng)，在小兒靜脈輸液風(fēng)險(xiǎn)管理中的應(yīng)用中，取得了良好的效果，值得推廣。

[關(guān)鍵詞] 品管圈;小兒靜脈輸液;風(fēng)險(xiǎn)管理

[中圖分類號(hào)] R473.72 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）01（c）-0065-03

[Abstract] Objective To study the effect of quality control circle activities in the risk management of pediatric intravenous infusion. Methods Patients who were treated with intravenous infusion in the pediatric ward of the hospital from January to December 2018 were randomly divided into two groups： control group， 100 cases from January to May 2018 implemented general pediatric nursing routines. From June to December 2018， 100 patients in the observation group performed QC activities on the basis of the observation group. The satisfaction of family members of the two groups and the infusion occurrences of children and theoretical examinations and operating results of nursing staff in the two groups were compared. Results The incidence of extravasation decreased， 12.0% in the observation group， 26.0% in the control group，and the difference was statistically significant（χ2=5.860， P=0.004）， family satisfaction，the observation group was 94.0%， the control group was 80.0%，and the difference was statistically significant（χ2=4.332， P=0.037）. Comparison of the satisfaction rate of patients in the two groups in different aspects： satisfaction in environmental comfort， convenient procedures， service attitude， and education and other aspects have improved. Comparison of theoretical and operational test scores between the two groups of patients： the control group were： （71.64±8.34）points， （79.06±10.26）points; the observation group were： （91.26±4.57）points，（94.37±5.36）points，and the difference was statistically significant （t=6.157，4.087，P=0.000，0.000）. Conclusion The quality control circle activity has achieved good results in the application of pediatric intravenous infusion risk management and is worth promoting.

[Key words] Quality control circle; Pediatric intravenous infusion; Risk management

品管圈實(shí)際是質(zhì)量控制圈，在相同工作環(huán)境或區(qū)域的人員自發(fā)主動(dòng)地組成質(zhì)量管理的活動(dòng)小組，可以有效持續(xù)提高質(zhì)量管理[1]。靜脈輸液是目前醫(yī)院護(hù)士的主要操作之一，在兒科由于患兒哭鬧、不配合，靜脈血管不清楚，充盈欠佳，因此穿刺難度大，另外患兒家長(zhǎng)要求高，往往給護(hù)士造成很大壓力，影響穿刺成功率及引起外滲[2]。該文于2018年6—12月通過(guò)將品管圈活動(dòng)應(yīng)用在小兒靜脈輸液風(fēng)險(xiǎn)管理中，起到了良好的效果，現(xiàn)報(bào)道如下。……