CAJ | 학술논문

目的：探讨品管圈（QCC）活动在降低神经外科术后感染中的作用。方法：成立QCC活动小组，确立活动主题，回顾性分析2012年1月至6月在郑州大学第一附属医院神经外科行颅脑手术的329例患者术后感染率、感染部位，探讨发生术后感染的原因、设立目标及分析可行性、制定整改措施，与2012年7月至12月开展QCC活动后行颅脑手术的420例患者的感染发生情况进行比较。结果：QCC活动前后神经外科患者术后感染发生率由18．5％下降至4．3％，差异有统计学意义（χ2＝39．736，P＜0．001）；在基础疾病、气管切开、脑室外引流等相同易感因素下，QCC活动后感染发生率较活动前下降，差异均有统计学意义（χ2＝13．527、4．966、18．707，P均＜0．05）。结论：QCC活动不仅降低了神经外科术后感染的发生率，同时使圈员掌握了质量管理工具的应用技巧。
목적：탐토품관권（QCC）활동재강저신경외과술후감염중적작용。방법：성립QCC활동소조，학립활동주제，회고성분석2012년1월지6월재정주대학제일부속의원신경외과행로뇌수술적329례환자술후감염솔、감염부위，탐토발생술후감염적원인、설립목표급분석가행성、제정정개조시，여2012년7월지12월개전QCC활동후행로뇌수술적420례환자적감염발생정황진행비교。결과：QCC활동전후신경외과환자술후감염발생솔유18．5％하강지4．3％，차이유통계학의의（χ2＝39．736，P＜0．001）；재기출질병、기관절개、뇌실외인류등상동역감인소하，QCC활동후감염발생솔교활동전하강，차이균유통계학의의（χ2＝13．527、4．966、18．707，P균＜0．05）。결론：QCC활동불부강저료신경외과술후감염적발생솔，동시사권원장악료질량관리공구적응용기교。
Aim:To explore the effects and the application of quality control circle ( QCC) activities in decreasing the rate of postoperative infection in neurosurgery patients .Methods:QCC activity group was set up and the activity theme was established .Postoperative infection rate and infection site of 329 patients in neurosurgery department were analyzed retro-spectively from January to June in 2012 to explore the causes of postoperative infection .Postoperative infection rate and in-fection site of 420 patients after the QCC activity from July to December in 2012 were compared with before .Results:The rate of postoperative infection in neurosurgery department decreased from 18.5%to 4.3%(χ2 =39.736,P<0.001).Un-der the same risk factors , such as basic diseases , tracheotomy , external ventricular drainage and so on , after the QCC ac-tivity, the rate of postoperative infection decreased significantly (χ2 =13.527, 4.966, 18.707,P<0.05).Conclusion:QCC activity could not only reduce the incidence of postoperative infection in neurosurgery department , but make partici-pants master the skills of the quality management tool .