CAJ | 학술논문

目的：探讨品管圈活动在提高腹部皮硝外敷患者舒适性中的应用效果。方法成立品管圈，通过活动步骤运用质量管理常用工具以及根据临床经验分析及查阅文献，分析腹部皮硝外敷时产生潮湿硬结感及压迫感等不舒适性感受的原因有：皮硝袋设计不合理、缺乏规范的护理操作流程、护士对患者的健康教育不足。针对要因，再次通过头脑风暴法找出防范对策：改进皮硝袋的设计，如将封口处改为拉链式，杜绝皮硝颗粒外露，在皮硝袋的上方增加1个隔袋，用来平铺不透水的看护垫；规范皮硝外敷的护理操作流程，加强观察与护理；制作图文并茂的皮硝外敷使用方面的宣传栏等，采用多样化的健康教育方式。比较品管圈活动实施前后患者的不舒适性感受得分，从而确定活动效果。结果开展品管圈活动后，患者的不舒适性感受评分由15.1分下降到5.2分，目标达标率100%，腹部皮硝外敷患者的舒适性提高。圈员的凝聚力、积极性、解决问题能力、发挥个人潜能等各方面得到提升。结论运用品管圈活动对腹部皮硝外敷患者进行护理干预，既改进了护理用具，又规范了护理操作流程及方法，提高了患者的舒适性。
목적：탐토품관권활동재제고복부피초외부환자서괄성중적응용효과。방법성립품관권，통과활동보취운용질량관리상용공구이급근거림상경험분석급사열문헌，분석복부피초외부시산생조습경결감급압박감등불서괄성감수적원인유：피초대설계불합리、결핍규범적호리조작류정、호사대환자적건강교육불족。침대요인，재차통과두뇌풍폭법조출방범대책：개진피초대적설계，여장봉구처개위랍련식，두절피초과립외로，재피초대적상방증가1개격대，용래평포불투수적간호점；규범피초외부적호리조작류정，가강관찰여호리；제작도문병무적피초외부사용방면적선전란등，채용다양화적건강교육방식。비교품관권활동실시전후환자적불서괄성감수득분，종이학정활동효과。결과개전품관권활동후，환자적불서괄성감수평분유15.1분하강도5.2분，목표체표솔100%，복부피초외부환자적서괄성제고。권원적응취력、적겁성、해결문제능력、발휘개인잠능등각방면득도제승。결론운용품관권활동대복부피초외부환자진행호리간예，기개진료호리용구，우규범료호리조작류정급방법，제고료환자적서괄성。
Objective To explore the effect of quality control circle (QCC) on improving the comfort of patients with external application of mirabilite on abdomen. Methods A QCC was established then after clinical analysis, literature review and with quality management tools, reasons for discomfort of patients with external application of mirabilite on abdomen were unreasonable design of mirabilite bag, non-standard nursing operation and inadequate health education. Consequent measures included improving the design of mirabilite bag, standardizing nursing operation procedure and providing diversified health education. Patients ’ comfort before and after QCC activities were compared. Results The score of patients’ discomfort decreased from 15.1 to 5.2 after the performance of QCC activity and capabilities of members in QCC were promoted greatly. Conclusion With the QCC activities, nursing devices are improved and nursing operation process and methods are standardized and eventually, patients feel more comfortable.