品管圈对血液透析患者动静脉内瘘穿刺点渗血护理效果.docVIP

品管圈对血液透析患者动静脉内瘘穿刺点渗血护理效果 　　[摘要] 目的 探讨品管圈对血液透析患者动静脉内瘘穿刺点渗血的护理效果。 方法 选择中国中医科学院望京医院血液净化中心2013年8月～2014年1月进行规律维持性血液透析的患者，将120例符合研究入组标准的血液透析患者采用随机对照方法分为观察组和对照组，各60例，观察组（品管圈护理组）男33例，女27例，平均年龄（61±10）岁，采用品管圈护理方法；对照组（传统护理组）男35例，女25例，平均年龄（68±10）岁，采用传统护理方法。开展期为6个月。探讨实施对策对动静脉内瘘穿刺点渗血的影响。 结果 运用品管圈后传统护理组渗血发生率为23.3‰，品管圈护理组渗血发生率为12.4‰，两组渗血发生率经χ2检验比较，差异有统计学意义（P 　　[关键词] 品管圈；血液透析患者；动静脉内瘘穿刺点渗血 　　[中图分类号] R472 [文献标识码] B [文章编号] 1673-7210（2014）09（a）-0107-05 　　[Abstract] Objective To explore the nursing effect of quality control circle （QQC） to hemodialysis patients whose arteriovenous fistula puncture site were bleeding. Methods 120 cases of maintenance hemodialysis patients were included in Blood Purification Center of Wangjing Hospital of China Academy of Traditional Chinese Medicine. The treatment time was from August 2013 to January 2014. They were divided into observation group and control group. There were 60 cases of patients in observation group as much as in control group. There were 33 cases of male patients and 27 cases of female patients in observation group. Their average age was （61±10） years old. The QQC nursing was adopted in observation group. There were 35 cases of male patients and 25 cases of female patients in control group. Their average age was （68±10） years old. The traditional methods of care was adopted in control group. The observation time was 6 months. The effect of QQC on arteriovenous fistula puncture site bleeding was explored. Results The bleeding rate in QCC care group was 12.4‰， the bleeding rate in traditional care group was 23.3 ‰， the difference was statistically significant （P 　　1 资料与方法 　　1.1 一般资料 　　选择中国中医科学院望京医院血液净化中心（以下简称“我中心”）2013年8月～2014年1月进行规律维持性血液透析的患者，将120例符合研究入组标准的血液透析患者采用随机对照方法分为观察组和对照组，每组各60例，观察组（品管圈护理组）男33例，女27例，平均年龄（61±10）岁；对照组（传统护理组）男35例，女25例，平均年龄（68±10）岁。两组一般资料比较差异无统计学意义（P 0.05），具有可比性。患者入选标准：在我中心规律透析；采用自体/人工血管动静脉内瘘透析的患者；年龄18～80岁，男女不限。患者排除标准：有精神症状无法配合者；采用中心静脉插管进行血液透析者。患者剔除标准：不符合入选标准而被误纳入的病例；符合入选标准但入选后未接受研究方案护理方法的病例。患者脱落标准：研究过程中内瘘失功，改用其他