品管圈活动在神经外科住院患者中应用效果.docVIP

品管圈活动在神经外科住院患者中应用效果 　　[摘要]目的 探讨品管圈活动在神经外科住院患者中的应用效果。方法 随机抽选遵义医学院第五附属（珠海）医院神经外科2015年3 ～ 12月住院进行输液治疗患者480例和护士16名，按照参加品管圈活动前后随机分为对照组和观察组，对照组（活动前）为2015年3～6月住院患者236例和护士8名，观察组（活动后）为2015年7～12月参加品管圈活动的244例患者和护士8名，开展“降低静脉输液药物外渗发生率”的品管圈活动的244例患者为观察组。 结果 通过开展品管圈活动以来，两组患者静脉输液穿刺一次性成功率分别为：观察组为96.72%，对照组为93.64%，差异有统计学意义（P0.05）；输液外渗发生率分别为：对照组为12.30%，观察组为4.67%，差异有统计学意义（P0.05）。静脉炎的发生率观察组为1.20%，对照组为5.78%，差异有统计学意义（P0.05）。护士对品管圈的应用意义、高危高渗药物的认知、团队成员的互助协作理念、提升护理服务质量、参与活动信心和集体荣誉感6个方面的评分均显著提高（P0.05）。 结论 品管圈活动的开展，加强了护士对高危、高渗药物专业知识的认知，规范了安全输液的操作，提高了静脉输液穿刺一次性成功率，降低输液外渗率和输液并发症的发生，值得临床推广应用。 　　[关键词] 品管圈；输液外渗； 神经外科；满意度 　　[中图分类号] R473 [文献标识码] B [文章?号] 2095-0616（2017）15-79-04 　　[Abstract] Objective To explore the application effect of quality control circle activity in department of neurosurgery patients. Methods 480 patients hospitalized for infusion treatment and 16 nurses in department of neurosurgery of The Fifth Affiliated Hospital of Zunyi Medical College （Zhuhai） from March 2015 to December 2015 were selected as the study object. According to the order of participation in quality control circle activities， they were divided into control group and observation group with 236 patients and 8 nurses from March 2015 to June 2015 before the activity in control group and 244 patients and 8 nurses from July 2015 to December 2015 in quality control circle activity in observation group. Patients in observation group were with Quality control circle activities to reduce the incidence of extravasation of intravenous fluids. Results Through the quality control circle activities， the one-time success rate of two groups of patients with intravenous infusion puncture was 96.72% respectively in the observation group and 93.64% in the control group， the difference was statistically significant （P 　　[Key words] Quality control circle； Transfusion extravasation； Neurosurgery； Satisfaction degree 　　静脉输液[1]是临床常用治疗手段之一，因此护士操作的时候不仅需要精湛的静脉穿刺技术、扎实 　　的药物专业知识，还需要密切对整个输液过程进行细心、耐心的观察和护患沟通能力[2]。“一针见血”率[3]是评价输液护理质量的关