CAJ | 학술논문

目的探讨PDCA循环在压疮流程管理中的应用效果.方法选择2009年1月至2010年12月院外带入及院内发生的压疮数418例为对照组,采取常规管理方法实施压疮管理；选择2011年1月至2012年12月住院患者中院外带入及院内发生的压疮数389例为实验组,将PDCA循环应用于压疮流程管理.比较两组患者压疮管理效果.结果实施PDCA循环的压疮流程管理,院外带入压疮的好转/治愈率实验组为81.0％,对照组为70.1％,院内发生压疮的好转/治愈率实验组为41.7％,对照组为21.1％,压疮漏报发生率实验组为4.1％,对照组为8.1％,两组比较差异均有统计学意义(x2值分别为11.538,4.551,5.605；P＜0.05).结论应用PDCA循环于压疮流程管理中,可提高压疮好转/治愈率,并降低漏报率.
목적 탐토PDCA순배재압창류정관리중적응용효과.방법 선택2009년1월지2010년12월원외대입급원내발생적압창수418례위대조조,채취상규관리방법실시압창관리；선택2011년1월지2012년12월주원환자중원외대입급원내발생적압창수389례위실험조,장PDCA순배응용우압창류정관리.비교량조환자압창관리효과.결과 실시PDCA순배적압창류정관리,원외대입압창적호전/치유솔실험조위81.0％,대조조위70.1％,원내발생압창적호전/치유솔실험조위41.7％,대조조위21.1％,압창루보발생솔실험조위4.1％,대조조위8.1％,량조비교차이균유통계학의의(x2치분별위11.538,4.551,5.605；P＜0.05).결론 응용PDCA순배우압창류정관리중,가제고압창호전/치유솔,병강저루보솔.
Objective To explore the application of the PDCA cycle in the process management of pressure ulcer.Methods Between January in 2009 and December in 2010,there were 418 cases of pressure ulcer from outside and inside the hospital as control group,which applied routine pressure ulcer management.From January in 2011 to Decemberin 2012,there were 389 cases of pressure ulcer from outside and inside the hospital as experimental group,which applied PDCA in the process management of pressure ulcer.Then,compared the results between two groups.Results After the intervention,the improved ratio and cured rate of patients in experimental group was significantly higher than that in control group (81.0％ vs 70.1％,41.7％ vs 21.1％),and the difference was statistically significant (x2 =11.538,4.551,respectively; P ＜ 0.05).The missing report rate was significantly lower than that in control group(4.1％ vs 8.1％ ;x2 =5.605,P ＜ 0.05).Conclusions The application of PDCA in the process of pressure ulcer management can improve the cure rate and decrease missing report rate.