[1]黄 霞,李 琴,夏 立,等.品管圈活动在提高血液透析患者动静脉内瘘绳梯穿刺落实率中的应用[J].医学信息,2020,33(05):180-182.[doi:10.3969/j.issn.1006-1959.2020.05.062]
　HUANG Xia,LI Qin,XIA Li,et al.Application of Quality Control Circle in Improving the Puncture Rate of Arteriovenous Fistula Ladder in Hemodialysis Patients[J].Medical Information,2020,33(05):180-182.[doi:10.3969/j.issn.1006-1959.2020.05.062]
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品管圈活动在提高血液透析患者动静脉内瘘绳梯穿刺落实率中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年05期
页码:
180-182
栏目:
护理研究
出版日期:
2020-03-01

文章信息/Info

Title:
Application of Quality Control Circle in Improving the Puncture Rate of Arteriovenous Fistula Ladder in Hemodialysis Patients
文章编号:
1006-1959（2020）05-0180-03
作者:
黄 霞; 李 琴; 夏 立; 等
（广东省第二人民医院器官移植科，广东 广州 510317）
Author(s):
HUANG Xia; LI Qin; XIA Li; et al
(Department of Organ Transplantation,the Second People’s Hospital of Guangdong Province, Guangzhou 510317,Guangdong,China)
关键词:
品管圈; 血液透析; 动静脉内瘘; 绳梯穿刺; 落实率
Keywords:
Quality control circle; Hemodialysis; Arteriovenous fistula; Rope ladder puncture;  Implementation rate
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2020.05.062
文献标志码:
A
摘要:
目的 探讨品管圈活动在提高血液透析患者内瘘使用绳梯穿刺法落实率的应用效果。方法 根据“护瘘”自愿原则，以提高护士对血液透析患者使用内瘘绳梯穿刺法落实率为主题，于2017年9月成立品质管理圈小组，由10名器官移植科血透室护士组成。采用“动静脉内瘘绳梯穿刺落实现况调查表”对血液透析患者动静脉内瘘绳梯穿刺进行调查，将结果汇总再设定目标值、原因分析、制定对策及实施，最后评估实施效果。结果 品管圈活动开展后，内瘘绳梯穿刺法落实率由实施前的24.32%提高到40.32%，各位圈成员的责任心、自信心、积极性、品管手法、和谐度、解决问题能力等评分都有提高，团队凝聚力与沟通协调能力两方面提高最明显。结论 品管圈活动能有效提高血液透析患者动静脉内瘘绳梯穿刺的落实率，减少动静脉内瘘并发症的发生、延长了动静脉内瘘的使用寿命，还提高了护士的团队合作意识和主动性。
Abstract:
Objective To explore the effect of quality control circle activities in improving the implementation rate of rope ladder puncture for internal fistula in hemodialysis patients.Methods According to the voluntary principle of "protecting the fistula", with the theme of improving the implementation rate of nurses using internal fistula ladders for hemodialysis patients, a quality management circle group was established in September 2017, composed of 10 hemodialysis nurses in the organ transplant department. The questionnaire on the implementation status of arteriovenous fistula ladder puncture and fall was used to investigate the puncture of arteriovenous fistula ladder in hemodialysis patients, and the results were summarized and then set to target values, cause analysis, countermeasures and implementation, and finally the implementation effect was evaluated.Results After the quality control circle activities were carried out, the implementation rate of the internal fistula rope ladder puncture method increased from 24.32% to 40.32% before implementation. Members of the circle have responsibility, self-confidence, enthusiasm, quality control methods, harmony, and problem solving capabilities The scores have improved, and team cohesion and communication and coordination skills have improved most significantly.Conclusion The quality control circle can effectively improve the implementation rate of arteriovenous fistula ladder puncture in hemodialysis patients, reduce the occurrence of arteriovenous fistula complications, prolong the service life of arteriovenous fistula, and improve the teamwork awareness of nurses and initiative.

参考文献/References:

[1]宿敬存,夏化文.自体动静脉内瘘功能不良的治疗现状及进展[J].中华介入放射学电子杂志,2019,(3):255-258.[2]赖碧红,金惠敏,叶水英,等.两种穿刺方法对透析患者动静脉内瘘的影响[J].中国中西医结合肾病杂志,2018,19(10):922-923.[3]金美春,崔顺锦,荣淑英,等.品管圈活动在提高血透患者动静脉内瘘穿刺成功率中的应用[J].国际护理学杂志,2016,35(4):534-535.[4]Walker R,Marshall MR,Polaschek N.Improving self-management in chronic kidney disease:a pilot study[J].Renal Soc Austral J,2013,9(3):116-125.[5]李家燕,胡琼燕,唐业莹,等.品管圈活动在降低血液透析患者动静脉内瘘动脉瘤发生率中的应用[J].护理与康复,2016,15(11):1079-1081.[6]方晋红.品管圈活动在提高血液透析患者内瘘穿刺部位轮换率中的应用[J].中国现代药物应用,2016,10(10):289-290.[7]杨华丽.品管圈提高骨科护理质量的效果[J].国际护理学杂志,2017,36(11):1553-1554.

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更新日期/Last Update: 2020-03-01