CAJ | 학술논문

目的：探讨品管圈在降低手术患者压疮发生率中的作用及实施方法.方法以手术压疮防护为主题，运用现场调查、数据统计、脑力激荡、评估打分等方法围绕主题实施品管圈的各项步骤，并将改进前、后的各项数据进行对比.结果手术患者压疮发生率由改善前的5．29％降至1．12％，手术压疮评估失误率由改进前的3．85％降至改进后的0．37％，差异均有统计学意义(均 P ＜0．01)；无形成果确认中圈员在解决问题的能力、责任心、沟通协调、自信心、团队凝聚力、积极性、幸福感、品管手法等8项内容的自评中改进后的评分均高于改进前.结论品管圈的实施，规范了手术压疮风险的评估、告知以及应采取的护理措施，提高了手术压疮防护的护理质量.
목적：탐토품관권재강저수술환자압창발생솔중적작용급실시방법.방법이수술압창방호위주제，운용현장조사、수거통계、뇌력격탕、평고타분등방법위요주제실시품관권적각항보취，병장개진전、후적각항수거진행대비.결과수술환자압창발생솔유개선전적5．29％강지1．12％，수술압창평고실오솔유개진전적3．85％강지개진후적0．37％，차이균유통계학의의(균 P ＜0．01)；무형성과학인중권원재해결문제적능력、책임심、구통협조、자신심、단대응취력、적겁성、행복감、품관수법등8항내용적자평중개진후적평분균고우개진전.결론품관권적실시，규범료수술압창풍험적평고、고지이급응채취적호리조시，제고료수술압창방호적호리질량.
Objective To investigate the implementation method of quality control circle in reducing the incidence of pressure sores during operation.Methods By setting the pressure ulcer protection as the theme,and use the on-site investigations,data statistics,brainstorming,scoring method to implement the steps around the theme of quality control circle,and compare the data before and after the improvement. Results The incidence of pressure sores in patients with operation reduced from 5.29% to 1.12%,and the operation pressure sore assessment error rate were also decreased from 3.85% to 0.37% after the improve-ment,the difference was statistically significant (all P <0.01);intangible results confirm that the scores of circle members in question solution ability,sense of responsibility,communication and coordination,self-confidence,team cohesion,enthusiasm,sense of well-being,quality control measures were all improved than before improvement.Conclusion The implementation of quality control circle standardize the operation of pressure sore risk assessment,inform and nursing measures and improved the nursing quality of operation pressure ulcer protection.