目的:研究课题达成型品管圈在住院患者中心静脉导管相关血栓预防护理中的应用效果。方法:选取医院2022年1月-2024年1月收治的83例PICC置管化疗住院患者,以电脑编号单双数字法随机分作研究组(n=41)和对照组(n=42)。对照组开展常规护理干预,研究组则开展课题达成型品管圈干预。对比两组PICC相关血栓发生率及风险评估率,PICC自我管理能力及相关知识掌握程度,满意度。结果:研究组PICC相关血栓发生率低于对照组(2.44% vs. 16.67%),差异有统计学意义(P<0.05)。干预后两组各项PICC自我管理能力评分均高于干预前,且研究组高于对照组(P<0.05)。干预后两组各项PICC相关知识掌握程度评分均高于干预前,且研究组高于对照组(P<0.05)。研究组总满意率高于对照组(97.56% vs. 76.19%)(P<0.05)。结论:课题达成型品管圈可有效降低住院患者PICC相关血栓的发生风险,且能改善患者PICC自我管理能力及相关知识掌握程度,提升满意度。
Objective:The research topic is the quality impact of molding quality control circles in the care of preventing central venous catheter-related thrombosis in hospitalized patients. Methods:A total of 83 inpatients with PICC catheterization chemotherapy who were admitted to the hospital from January 2022 to January 2024 were studied. They were randomly divided into study group(n=41)and control group(n=42)by computer numbering method. The control group carried out the routine nursing intervention,and the study group carried out the quality control circle intervention. The incidence and risk assessment rate of PICC-related thrombosis,PICC self-management ability,knowledge mastery and satisfaction of the two groups were compared. Results:The incidence of PICC-associated thrombosis in the study group was lower than that in the control group(2.44% vs. 16.67%)(P < 0.05). After intervention,the scores of PICC self-management ability in both groups were higher than before intervention,and the study group was higher than the control group(all P < 0.05). After intervention,the scores of PICC-related knowledge in both groups were higher than before intervention,and the study group was higher than the control group(all P < 0.05). The total satisfaction rate of the study group was higher than that of the control group(97.56% vs. 76.19%)(P < 0.05). Conclusion:The quality control circle of the project has a good effect on preventing PICC-associated thrombosis in hospitalized patients,and can improve patients' self-management ability of PICC and related knowledge,and enhance their satisfaction.