目的 探讨品管圈(QCC)活动在降低新生儿经外周静脉置入中心静脉导管(HCC)并发症发生率的应用效果.方法 在新生儿重症监护室进行PICC成功置管的患儿按实施QCC前后分别纳入对照组(72例)和观察组(68例),对照组采用常规护理,观察组在对照组的基础上开展QCC活动,比较2组患儿的各并发症发生情况和非计划拔管情况.结果 与对照组相比较,观察组在导管堵塞、导管脱出、导管异位和导管相关性感染的发生率上均显著降低(P＜0.05);与对照组相比较,观察组的非计划拔管率显著降低(P＜0.05).结论 品管圈活动能有效降低新生儿PICC并发症的发生率和非计划拔管率,值得在新生儿临床护理中进行应用和推广.%Objective To evaluate the application of quality control circle (QCC) in reducing the incidence of complications of neonates with peripherally inserted central catheters (PICCs).Methods Neonates who were successfully place with PICC in the neonatal intensive care unit were divided into two groups:a control group (n =72) and an observation group (n =68).The control group received routine nursing care,while the observation group was provided with QCC activities in addition to routine nursing care.Both groups were compared for the incidence of complications and unscheduled extubation.Results Compared with the control,the observation group showed significant decreases in the incidences of catheter blockage,catheter prolapse,ectopic catheter and catheter-related infection (P ＜ 0.05).Compared with the control,a significantly decreased incidence of unscheduled extubation was found in the observation group (P ＜0.05).Conclusions QCC activities can effectively reduce the incidence of complications and unscheduled extubation,which is worth to be applied and promoted in neonatal clinical nursing.
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