CAJ | 학술논문

目的：探讨品管圈活动对降低胸外病房中高危导管非计划性拔管中的应用。方法通过成立品管圈活动小组，确定品管圈主题、制定品管圈活动计划，对导致中高危导管非计划性拔管的因素进行分析，制定整改措施，并对品管圈活动实施前后的相关指标评价。结果实施品管圈活动前后中高危导管非计划性拔管率由11．5％下降至3．8％，差异具统计学意义（P＜0．05）。结论品管圈活动对于降低中高危导管非计划性拔管率效果显著，合理的圈内讨论研究中高危导管非计划性拔管因素，可以提高护理人员的责任感以及安全意识，确保患者安全，改善护理品质。
목적：탐토품관권활동대강저흉외병방중고위도관비계화성발관중적응용。방법통과성립품관권활동소조，학정품관권주제、제정품관권활동계화，대도치중고위도관비계화성발관적인소진행분석，제정정개조시，병대품관권활동실시전후적상관지표평개。결과실시품관권활동전후중고위도관비계화성발관솔유11．5％하강지3．8％，차이구통계학의의（P＜0．05）。결론품관권활동대우강저중고위도관비계화성발관솔효과현저，합리적권내토론연구중고위도관비계화성발관인소，가이제고호리인원적책임감이급안전의식，학보환자안전，개선호리품질。
Objective To investigate the effects of Quality Control Circle ( QCC ) in decreasing unplanned extubation incidence among thoracic surgery patients with medium -high risk catheter .Methods QCC team was set up to organize specific theme , analyze problems and reasons , formulate rectification measures , and asses relative outcomes afterwards .Results After implemented QCC activity , the incidence of unplanned extubation was reduced significantly from 11.5% to 3.8%(P<0.05) .Conclusions QCC can effectively decrease unplanned extubation incidence among thoracic surgery patients with medium -high risk catheter by analyzing relative factors .It has the advantages of improving nurses'responsibility and nursing quality and the consciousness of safety .