品管圈在控制老年患者经皮冠状动脉介入术后桡动脉穿刺处并发症发生中的应用

发布时间：2019-02-12 11:25

【摘要】：目的探讨品管圈(QCC)活动在控制老年患者经皮冠状动脉介入术(后称经皮冠脉介入术)后桡动脉穿刺处并发症发生的效果。方法成立品管圈,确立"降低老年患者冠脉介入术后桡动脉穿刺处并发症发生率"的活动主题,采用循环管理(PDCA)方法,进行现况调查、要因分析、实施对策制订、效果检验等,随机抽取110例入住本院老年病科行冠脉介入手术(经桡动脉路径)的患者为研究对象,分析导致桡动脉穿刺处并发症发生的根本原因,制订相应的对策并进行效果验证。结果通过QCC活动的实施,患者桡动脉穿刺处并发症发生率较活动前明显下降(P0.05),而患者的满意度明显提高(P0.01)。圈员的品管手法应用、责任心、沟通协调、自信心、团队凝聚力、解决问题能力、幸福感、积极性得到提高。结论 QCC活动不仅可有效降低老年患者经皮冠脉介入术后桡动脉穿刺处并发症发生率,也有利于促进护患关系和提高护士整体素质。
[Abstract]:Objective to investigate the effect of quality control ring (QCC) activity in controlling the complications of radial artery puncture after percutaneous coronary intervention (percutaneous coronary intervention) in elderly patients. Methods A quality control circle was established to establish the activity theme of "reducing the incidence of complications in radial artery puncture after coronary intervention in elderly patients". The method of circulation management (PDCA) was used to investigate the current situation. 110 patients who underwent coronary intervention (via radial artery route) were randomly selected from the geriatric department of our hospital for the purpose of analyzing the root causes of complications at the puncture site of the radial artery. Formulate the corresponding countermeasures and verify the effect. Results through the implementation of QCC activities, the incidence of complications in radial artery puncture was significantly lower than that before exercise (P0.05), while the satisfaction of patients was significantly increased (P0.01). Application of quality control techniques, responsibility, communication coordination, self-confidence, team cohesion, problem-solving ability, happiness, enthusiasm improved. Conclusion QCC activity can not only effectively reduce the incidence of complications in radial artery puncture after percutaneous coronary intervention in elderly patients, but also promote the relationship between nurses and patients and improve the overall quality of nurses.
【作者单位】：重庆医科大学附属第二医院老年病科;
【基金】：重庆市渝中区科委2015基础与前沿科技项目(20150126)
【分类号】：R473.5

【相似文献】