CAJ | 학술논문

目的：探讨品管圈活动在降低高龄患者前列腺电切术（ TURP）中低体温的应用效果。方法成立品管圈活动小组，运用PDCA循环方法，确立“降低高龄患者TURP术中低体温”为活动主题，对2013年1—10月112例行TURP的高龄患者进行现状调查、分析原因、设定目标，制定对策并落实整改措施，进行相关评价。结果通过品管圈活动的良性干预，高龄患者术中低体温、术中寒颤及躁动的发生率分别为14．3％，13．4％，8．92％，均较活动前下降，差异有统计学意义（χ2值分别为18．694，12.311，6．125；P ＜0．05）。结论开展品管圈活动能有效降低高龄患者TURP术中低体温的发生，减少术中寒颤及躁动等并发症，有利于提高圈员运用品管圈解决问题的能力。
목적：탐토품관권활동재강저고령환자전렬선전절술（ TURP）중저체온적응용효과。방법성립품관권활동소조，운용PDCA순배방법，학립“강저고령환자TURP술중저체온”위활동주제，대2013년1—10월112례행TURP적고령환자진행현상조사、분석원인、설정목표，제정대책병락실정개조시，진행상관평개。결과통과품관권활동적량성간예，고령환자술중저체온、술중한전급조동적발생솔분별위14．3％，13．4％，8．92％，균교활동전하강，차이유통계학의의（χ2치분별위18．694，12.311，6．125；P ＜0．05）。결론개전품관권활동능유효강저고령환자TURP술중저체온적발생，감소술중한전급조동등병발증，유리우제고권원운용품관권해결문제적능력。
Objective To explore the effect of quality control circle ( QCC) to prevent intraoperative hypothermia during transurethral resection or prostate ( TURP) of aging patients .Methods We founded QCC team, utilized PDCA, and established ‘To prevent Intraoperative hypothermia during TURP of elderly patients ’ as a theme.Elderly, who met the sampling criteria and implement of TURP from January to October 2013 were assigned, for stock taking, setting goals, analyzing the causes, implementing rectification measures and evaluating the effect .Results Through the QCC , the rates of intraoperative hypothermia ,chills and postoperative agitation (14.3%,13.4%and 8.9%) were significant differences before QCC carried out (41.6%,30.9%and 21.4%) (χ2 =18.694,12.311,6.125,respectively;P<0.05).Each member of QCC was improved in the use of QCC, teamwork, expertise, relationships, the power of executive and the ability to resolve problems . Conclusions To carry out the quality control circle activity in elderly patients with TURP can effectively reduce the intraoperative hypothermia occurs , reduce intraoperative shivering and agitation and other complications , and improve the ability of team members to use QCC problem .