品管圈活动在提高迷你中线导管一针穿刺成功率中的应用

Application of Quality Control Circle Activities in Improving the Success Rate of One-Needle Puncture of Mini Midline Catheters

摘要: 目的：探讨品管圈活动对病房护士迷你中线导管一针穿刺成功率的影响。方法：按照品管圈十大步骤，确定主题为“提高迷你中线导管穿刺一针成功率”，分析病房护士迷你中线导管穿刺失败的原因，制订并实施策略，包括组织迷你中线导管穿刺培训、加强团队合作、开展专项健康教育、改善穿刺环境等，比较品管圈活动实施前后病房护士迷你中线导管一针穿刺成功率及患者迷你中线导管再次使用意愿。结果：实施迷你中线导管一针穿刺成功率品管圈活动前，病房护士迷你中线导管一针成功率为72.22%，患者迷你中线导管再次使用意愿为51.85%，品管圈活动实施后，病房护士迷你中线导管一针穿刺成功率为89.47%，患者再次使用意愿为77.58%，差异有统计学意义(P < 0.05)。结论：品管圈活动的开展可以有效提高病房护士迷你中线导管穿刺技术，增加患者迷你中线导管使用意愿，值得进一步推广。

Abstract: Objective: This paper aims to explore the influence of QC circle activities on the success rate of one-shot minicentre catheterization among ward nurses. Methods: In accordance with the ten steps of QC circle, the theme of “Improve the success rate of one-needle minicentre catheter puncture” was identified, the reasons for the failure of minicentre catheter puncture by ward nurses were analyzed, the strategies were formulated and implemented, including the organization of training on minicentre catheter puncture, the strengthening of teamwork, the carrying out of special health education, and the improvement of the puncture environment, etc., and the success rate of one-needle minicentre catheter puncture by ward nurses and patients’ willingness to use minicentre catheter again before and after the implementation of QC circle activities were compared. Results: Before the implementation of the QC circle activity, the success rate of one-needle puncture of mini midline catheter by ward nurses was 72.22%, and the patients’ willingness to reuse mini midline catheter was 51.85%; after the implementation of the QC circle activity, the success rate of one-needle puncture of mini midline catheter by ward nurses was 89.47%, and the patients’ willingness to reuse mini midline catheter was 77.58%, and the difference was statistically significant (P < 0.05). Conclusion: The implementation of QC circle activities can effectively improve ward nurses’ mini-median catheter puncture techniques and increase patients’ willingness to use mini-median catheters, which is worthy of further promotion.