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目的探讨品管圈活动(QCC)对血液透析患者半永久留置导管清洁率的影响。方法血液净化中心7名护士自愿组成QCC小组,确立“提高留置导管清洁率”为活动主题;分析影响留置导管清洁率的主要原因为患者生活习惯不良、患者不重视、缺乏导管清洁流程以及护士宣教不到位;设定留置导管清洁率从5.89%上升至9.39%为目标,改善幅度为59.42%;通过改善宣教方法、加强宣教力度、制作留置导管清洁流程、加强科室检查等措施。结果品管圈活动干预后留置导管清洁率从干预前5.89%上升至干预后22.55%。结论 QCC活动可有效提高血液透析患者半永久留置导管清洁率,从而降低导管感染率,延长血液透析患者半永久留置导管的使用寿命。
Objective To investigate the effect of QCC on the semi-permanent catheter clean-up rate in hemodialysis patients. Methods A total of seven nurses from the blood purification center voluntarily formed the QCC group and established the theme of “Raising the rate of indwelling catheters”. The main reasons for influencing the rate of indwelling catheters were poor living habits, neglect of patients, lack of catheter cleaning procedures and Nurses were not qualified to teach; setting the rate of cleaning of indwelling catheters increased from 5.89% to 9.39%, with a margin of improvement of 59.42%; measures such as improving evangelization methods, strengthening propaganda, making indwelling catheter cleaning procedures and strengthening departmental examination. Results The activity of catheter indwelling catheter after intervention was increased from 5.89% before intervention to 22.55% after intervention. Conclusions QCC activity can effectively improve the semi-permanent catheterization rate in hemodialysis patients, thus reducing the catheter infection rate and prolonging the service life of semi-permanent catheter in hemodialysis patients.