品管圈对血液透析患者动静脉内瘘穿刺点渗血的护理成效

范春燕

[摘要] 目的 研究品管圈对血液透析患者动静脉内瘘穿刺点渗血的护理成效。方法 该次研究方便选取该院2019年1—6月收治的60例行血液透析的患者，采用随机数字表法将60例患者随机分为观察组与对照组，每组30例，对照组患者采用常规护理干预，观察组患者采用品管圈护理干预，比较两组患者临床护理成效。结果 两组患者经过护理干预比较，观察组患者动静脉内瘘穿刺点渗血发生率（2.63%）明显低于对照组（χ2=6.426，P=0.001）;对照组患者护理总满意率显著低于观察组（93.33%）（χ2=7.333，P=0.007）;观察组护理人员干预后护理水平明显提高，差异有统计学意义（P<0.05）。结论 品管圈对血液透析患者动静脉内瘘穿刺点渗血的护理成效显著，减少了患者动静脉内瘘穿刺点渗血发生的概率，提高了护理人员护理的水平，患者对于护理的满意度也显著提高。

[关键词] 品管圈;血液透析;动静脉内瘘穿刺点渗血;发生率;护理;满意度

[Abstract] Objective To study the nursing effect of quality control circle on bleeding of arteriovenous fistula puncture site in hemodialysis patients. Methods In this study， 60 patients undergoing hemodialysis in the hospital from January 2019 to June 2019 were convenient selected， and 60 patients were randomly divided into observation group and control group using random number table method， with 30 cases in each group. Patients in the control group were treated with routine nursing interventions， and patients in the observation group were treated with quality control circle nursing interventions to compare the clinical nursing effectiveness of the two groups of patients. Results After comparison of nursing intervention between the two groups of patients， the incidence of bleeding in the arteriovenous fistula puncture site （2.63%） in the observation group was significantly lower than that in the control group （χ2=6.426， P=0.001）; the overall satisfaction rate of nursing care was significantly lower In the observation group（93.33%）（χ2=7.333，P=0.007）; the nursing level of the nursing staff in the observation group significantly improved after the intervention， and the difference was statistically significant （P<0.05）. Conclusion The quality control circle has significant effect in nursing hemorrhage of arteriovenous fistula puncture point in hemodialysis patients， which reduces the probability of bleeding of puncture point in arteriovenous fistula puncture point， improves the level of nursing staff's care， and patient's satisfaction with care It has also improved significantly.

[Key words] Quality control circle; Hemodialysis; Bleeding from puncture site of arteriovenous fistula; Incidence; Nursing; Satisfaction

临床中治疗血液疾病患者主要采取的方法就是血液透析[1]，这种方法需要反复、长期的进行内瘘穿刺，要完成血液透析治疗，非常必要的条件就是血管通路[2]。品管圈就是指工作现场相同、工作性质类似的基层工作人员，自主地进行质量管理活动而组成的小组[3-4]。品管圈作为品质管理活动中的一环，全员参与，灵活运用各种统计方法，不断解决工作现场以及管理等方面发生的问题。该研究方便选取该院60例2019年1—6月期间收治的患者进行对照研究，現报道如下。

1  资料与方法

1.1  一般资料

该次研究方便选取该院血液透析室收治的60例行血液透析进行治疗的患者，采用随机数字表法将60例患者随机分为两组，每组30例，观察组患者男16例，女14例;年龄45～63岁，平均年龄（52.04±1.05）岁。对照组患者男18例，女12例;年龄44～64岁，平均年龄（54.28±1.77）岁。……