CAJ | 학술논문

目的：探讨品管圈对提高腹膜透析（简称：腹透）患者透析管维护质量、降低导管相关并发症发生率的作用。方法按品管圈理论进行现状把握、计划拟定、目标设定、要因分析、对策拟定、实施检讨、效果确认、标准化。结果导管堵塞，移位，管周渗漏，相关感染等发生率均下降，且前后差异具有统计学意义（P＜0．05）。结论品管圈可以提高透析管维护质量，降低透析管相关并发症发生率；具有主动管理的优点，能够更好地促进临床实际问题的解决，促进透析管维护管理制度、标准化操作流程的建立和完善。
목적：탐토품관권대제고복막투석（간칭：복투）환자투석관유호질량、강저도관상관병발증발생솔적작용。방법안품관권이론진행현상파악、계화의정、목표설정、요인분석、대책의정、실시검토、효과학인、표준화。결과도관도새，이위，관주삼루，상관감염등발생솔균하강，차전후차이구유통계학의의（P＜0．05）。결론품관권가이제고투석관유호질량，강저투석관상관병발증발생솔；구유주동관리적우점，능구경호지촉진림상실제문제적해결，촉진투석관유호관리제도、표준화조작류정적건립화완선。
Objective To explore the effect of application of Quality Control Circle(QCC)to improve the quality of maintaining catheter in peritoneal dialysis patients and reduce the rate of catheter related compilation. Methods according to the QCC theory to master states, formulate plans, set goals, analysis, make decisions, re-view implementation confirm the effect and standardize procedure.Results The rates of catheter occlusion, drift, leakage, infection were lower in QCC group thou in non-QCC group( P<0.05) .Conclusions using the QCC to protect and manage the dialysis catheter is good for improving the quality of dialysis tube and reducing the incidence of catheter related compilations.It has the advantage of managing actively, and is a benefit to resolve some denial problems.It is able to contribute to the establishment and improvement of peritoneal dialysis standard operating pro-cedure.