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目的 :探讨分析对外周血管采血患者开展品管圈活动对降低其采血时瘀斑血肿发生率的效果。方法 :对2014年10月~2015年3月期间我院ICU收治的1330例患者及同期在ICU工作的39名护理人员的相关资料进行回顾性研究。在2015年1月~2015年3月期间,我科开展以“降低进行外周血管采血患者瘀斑血肿的发生率”为主题的品管圈活动。品管圈活动结束后,比较在进行品管圈活动前后接受外周血管采血患者瘀斑血肿的发生情况及患者对护理服务的满意度。结果:进行品管圈活动后,进行外周血管采血的患者瘀斑血肿的总发生率明显低于进行品管圈活动前的水平,对护理服务的满意度明显高于进行品管圈活动前的水平,差异具有显著性(P<0.05)。结论 :通过开展品管圈活动的方法对ICU护理人员进行管理的效果显著,可有效地减少ICU患者进行外周血管采血后瘀斑血肿的发生,提高患者对护理服务的满意度。此方法值得在临床上推广应用。
OBJECTIVE: To investigate the effect of lowering the incidence of ecchymosis in blood collection in peripheral blood sampling patients. Methods: The retrospective data of 1330 patients admitted to our hospital from October 2014 to March 2015 and 39 nurses working in ICU during the same period were retrospectively reviewed. During January 2015 ~ March 2015, our department conducted a quality control circle with the theme of “Reducing the incidence of ecchymoses in peripheral blood sampling patients”. After the quality control circle activity was finished, the incidence of ecchymosis hematoma in patients receiving peripheral blood sampling and the patient satisfaction with the nursing service were compared before and after the quality control circle activity. Results: The total incidence of ecchymosis in peripheral blood sampling patients was significantly lower than that before quality control activities, and the satisfaction with nursing services was significantly higher than that before quality control activities Level, the difference was significant (P <0.05). Conclusion: The management of ICU nurses by means of QA activities is significant, which can effectively reduce the incidence of ecchymosis hematoma after peripheral blood sampling in ICU patients and improve their satisfaction with nursing services. This method is worth promoting in clinic.