CAJ | 학술논문

目的：探讨品管圈管理在预防脑血管病患者胃管滑脱中的作用。方法成立品管圈，应用头脑风暴法确立预防胃管滑脱为活动的主题，拟定计划，分析现状，统计绘制柏拉图及鱼骨图分析原因，针对3项主要原因设定目标，制定对策，将实施对策进行效果确认、标准化，修改并制定科室的胃管管理制度。结果实施措施后我科脑血管留置胃管患者拔管率由27．5％（55／200）降低至5．0％（10／200），差异有统计学意义（χ2＝27．05，P＜0．01）；设定的目标值均已达到，目标达成率115％，进步率81％。圈员责任心、自信心、积极性、解决问题的能力、团队凝聚力等方面的能力得到提升。结论品管圈管理研究了影响胃管滑脱的主要因素，制定了切实有效的预防措施，有效解决了胃管滑脱的问题，提高了护士的综合素质，提高了临床护理质量。
목적：탐토품관권관리재예방뇌혈관병환자위관활탈중적작용。방법성립품관권，응용두뇌풍폭법학립예방위관활탈위활동적주제，의정계화，분석현상，통계회제백랍도급어골도분석원인，침대3항주요원인설정목표，제정대책，장실시대책진행효과학인、표준화，수개병제정과실적위관관리제도。결과실시조시후아과뇌혈관류치위관환자발관솔유27．5％（55／200）강저지5．0％（10／200），차이유통계학의의（χ2＝27．05，P＜0．01）；설정적목표치균이체도，목표체성솔115％，진보솔81％。권원책임심、자신심、적겁성、해결문제적능력、단대응취력등방면적능력득도제승。결론품관권관리연구료영향위관활탈적주요인소，제정료절실유효적예방조시，유효해결료위관활탈적문제，제고료호사적종합소질，제고료림상호리질량。
Objective To investigate the effect of quality circle control ( QCC ) management in the prevention of accidental prolapse of gastric tube in patients with cerebral -vascular disease .Methods First, we set up the quality control circle , identified the theme , analyzed the current situation and drew the Pareto diagram and fishbone diagram to find out the three main causes .Then we set up the goals and developed strategies .At last we confirmed and standardized the results , modified and formulated the tube management system . Results After applying the QCC management , the extubation rate significantly reduced from 27.5%(55/200) to 5.0%(10/200) (χ2 =27.05,P<0.01), with an achievement rate of 115%and progress rate of 81%.The responsibility, self-confidence, initiative, problem solving ability, team cohesion, communicate and coordinated ability, happiness and quality control means had improved after the application of QCC management . Conclusions The application of QCC management can effectively solve the accidental prolapse of gastric tube in patients with cerebral-vascular disease and improve the nursing quality and the comprehensive quality , and increase the cohesion of the department .