CAJ | 학술논문

目的：探讨品管圈活动在手术室院内感染控制中的应用效果。方法于2013年8-11月在手术室组建立品管圈，选定主题，在现状分析的前提下，确立目标，拟定并实施相应的对策，比较实施前后快速手消毒剂使用不规范行为的发生情况，并采用自制的问卷对本次品管圈所产生的无形结果进行评价。结果实施品管圈活动后，每8天平均不规范例数为（21．6±12．52）次，与实施前（56．8±28．42）次相比，差异有统计学意义（t＝2．534，P＜0．05）；品管圈实施后圈成员解决问题能力得分由（2．0±0．69）分提升至（3．8±0．50）分；责任心得分由（2．0±0．75）分提升至（4．2±0．75）分；沟通协调能力由（2．4±0．69）分提升至（4．4±0．45）分；自信心由（2．6±0．82）分提升至（4．6±0．27）分；团队凝聚力得分由（2．6±1．63）分提升至（4．5±0．37）分；组员积极性由（1．8±0．58）分提升至（4．6±0．14）分；品管手法得分由（1．2±0．81）分提升至（5．0±0．00）分；科室和谐度由（2．2±0．94）分提升至（4．6±0．36）分，实施前后比较差异均具有统计学意义（t值分别为6．667，7．142，7．657，7．352，3．676，14．896，14．918，7．556；P＜0．01）。结论品管圈活动在手术室控制院内感染控制中的应用效果显著，值得推广。
목적：탐토품관권활동재수술실원내감염공제중적응용효과。방법우2013년8-11월재수술실조건립품관권，선정주제，재현상분석적전제하，학립목표，의정병실시상응적대책，비교실시전후쾌속수소독제사용불규범행위적발생정황，병채용자제적문권대본차품관권소산생적무형결과진행평개。결과실시품관권활동후，매8천평균불규범례수위（21．6±12．52）차，여실시전（56．8±28．42）차상비，차이유통계학의의（t＝2．534，P＜0．05）；품관권실시후권성원해결문제능력득분유（2．0±0．69）분제승지（3．8±0．50）분；책임심득분유（2．0±0．75）분제승지（4．2±0．75）분；구통협조능력유（2．4±0．69）분제승지（4．4±0．45）분；자신심유（2．6±0．82）분제승지（4．6±0．27）분；단대응취력득분유（2．6±1．63）분제승지（4．5±0．37）분；조원적겁성유（1．8±0．58）분제승지（4．6±0．14）분；품관수법득분유（1．2±0．81）분제승지（5．0±0．00）분；과실화해도유（2．2±0．94）분제승지（4．6±0．36）분，실시전후비교차이균구유통계학의의（t치분별위6．667，7．142，7．657，7．352，3．676，14．896，14．918，7．556；P＜0．01）。결론품관권활동재수술실공제원내감염공제중적응용효과현저，치득추엄。
Objective To explore the application effect of quality control circle in the control of the hospital infection in operation room .Methods The quality control circle was established in operation room from August 2013 to November 2013 .The theme was selected , and the target was established on the basis of the analysis of current situation, and the corresponding countermeasure was developed and implemented .The incidence of the non-standard use of rapid hand disinfectant was compared before and after the implementation , and the intangible results of quality control circle was evaluated by the self-made questionnaire .Results The average cases of non-standard use every 8 days were (21.6 ±12.52) after the implementation, and were (56.8 ±28.42) before the implementation, and the difference was statistically significant (t =2.534,P <0.05).After the implementation of quality control circle , the score of the ability to solve problems was increased from (2.0 ±0.69) to (3.8 ±0.50), and the score of the sense of responsibility was increased from (2.0 ±0.75) to (4.2 ±0.75), and the score of communication and coordination ability was increased from (2.4 ±0.69) to (4.4 ±0.45), and the score of self-confidence was increased from (2.6 ±0.82) to (4.6 ± 0.27), and the score of team cohesion was increased from (2.6 ±1.63) to (4.5 ±0.37), and the score of enthusiasm was increased from (1.8 ±0.58) to (4.6 ±0.14), and the score of quality control circle practice was increased from (1.2 ±0.81) to (5.0 ±0.00), and the score of harmony in the department was increased from (2.2 ±0.94) to (4.6 ±0.36), and the differences were statistically significant (t =6.667,7.142, 7.657,7.352,3.676,14.896,14.918,7.556, respectively;P<0.01).Conclusions Quality control circle is very effective in the control of the hospital infection in operation room , and is worthy of promotion .