Application of quality control circle activities in reducing the incidence rate of fistula puncture bleeding in hemodialysis patients
10.3760/cma.j.issn.1674-2907.2013.29.017
- VernacularTitle:品管圈活动在降低血液透析患者内瘘穿刺渗血发生率中的应用
- Author:
Yun TONG
1
;
Ze-Wen LIN
;
Ying-Wen LI
;
Yan-Hua LIU
;
Xia HUANG
Author Information
1. 广东省第二人民医院肾内科
- Keywords:
Hemodialysis;
QCC;
Fistula puncture bleeding
- From:
Chinese Journal of Modern Nursing
2013;19(29):3621-3624
- CountryChina
- Language:Chinese
-
Abstract:
Objective To probe into the application effect of quality control circle (QCC) activity in reducing the incidence rate of fistula puncture bleeding in hemodialysis patients.Methods Thirty-six hemodialysis patients in our hospital from January to June 2012 were chosen as the control group (before the QCC activity) ; 36 hemodialysis patients with the same rule in 1 group from July to December 2012 were chosen as the experiment group (after the QCC activity).Six nurses from nephrology volunteer to group a "circle" in order to build-up the QCC activity with the subject of reducing the blood exudation rate during hemodialysis fistula piercing.Before the QCC activity,the data of blood exudation rate was calculated,and the root cause of blood exudation was analyzed during hemodialysis fistula piercing; then the improvement plan was made-up,and the counter measure was implemented.The blood exudation rate during hemodialysis fistula piercing was compared before and after the QCC activity.Results The incidence rate of fistula puncture bleeding after QCC activity was 3.76％,was lower than 7.66％ before the QCC activity,and was better than the origin target,and the differences were statistically significant (x2 =20.634,P ＜ 0.05).Conclusions The implementation of QCC activity is not only benefit to reducing the incidence rate of fistula puncture bleeding in hemodialysis patients,but also is good at circle members' professional technical level and quality management capability,promote the quality improvement of hemodialysis.
