CAJ | 학술논문

目的：探讨PDCA循环在我院血透室护士手卫生管理中的应用效果。方法：应用计划－实施－检查－处理（ PDCA）循环即管理循环模式，对血透室护士手卫生进行持续质量改进。加强全员培训，注意环节管理，强调规范洗手，定期检查和随机抽查相结合。结果：实施PDCA循环后，血透室护士接触患者前手卫生洗手率由实施前的33．67％升至实施后的78．12％，接触患者后洗手率由57．98％升至93．26％，脱手套后洗手率由31．94％升至86．86％，护士手细菌检测合格率由65．71％提高至92．11％，差异均有统计学意义（ P＜0．05）。结论：应用PDCA循环法提高了血透室护士手卫生的依从性。
목적：탐토PDCA순배재아원혈투실호사수위생관리중적응용효과。방법：응용계화－실시－검사－처리（ PDCA）순배즉관리순배모식，대혈투실호사수위생진행지속질량개진。가강전원배훈，주의배절관리，강조규범세수，정기검사화수궤추사상결합。결과：실시PDCA순배후，혈투실호사접촉환자전수위생세수솔유실시전적33．67％승지실시후적78．12％，접촉환자후세수솔유57．98％승지93．26％，탈수투후세수솔유31．94％승지86．86％，호사수세균검측합격솔유65．71％제고지92．11％，차이균유통계학의의（ P＜0．05）。결론：응용PDCA순배법제고료혈투실호사수위생적의종성。
Objective:To explore the application of PDCA cycle management on hand hygiene compliance of nurses in hemodialysis room .Methods:The application effects of PDCA cycles of planning-do-check-action on continuous quality im-provement of hand hygiene of nurses in hemodialysis room .It is including strengthening all-staff-training, emphasizing process management and periodical inspection with random sampling .Results:After the implementation of PDCA cycle man-agement,the rate of washing hand before contacting the patients increased from the 33.67% before the implementation to 78.12%after the implementation,increasing from 57.98% to 93.26% after contacting the patients,and increasing from 31.94%to 86.86%after removing the gloves,the nurse hand detection qualified rate of bacteria increased from 65.7%to 94.7%,the difference were statistically significant (P>0.05).Conclusion:The application of PDCA cycle of planning-do-check-action on continuous quality improvement can effectively improve hand hygiene of nurses in hemodialysis room .