CAJ | 학술논문

目的：探讨品管圈活动在降低腹膜透析患者腹膜炎发生率中的应用效果。方法选择2012年1—12月腹膜透析患者50例为对照组,2013年1—12月腹膜透析患者66例为试验组,两组患者均实施常规的护理,试验组在此基础上开展品管圈活动,成立品管圈活动小组,分析发生腹膜炎的原因、设定目标、制定对策并实施,比较实施品管圈活动前后两组患者腹膜炎发生率。结果开展品管圈活动后居家腹膜透析患者腹膜炎发生率从30.0%下降到7.5%,两组比较差异有统计学意义(χ2=10.026, P<0.01)。结论将品管圈活动应用于临床护理工作中,通过品管圈成员间的相互协作,找出和分析发生问题的原因、设定目标、制定对策并实施和效果评价等,可促进护理质量的持续改进。
목적：탐토품관권활동재강저복막투석환자복막염발생솔중적응용효과。방법선택2012년1—12월복막투석환자50례위대조조,2013년1—12월복막투석환자66례위시험조,량조환자균실시상규적호리,시험조재차기출상개전품관권활동,성립품관권활동소조,분석발생복막염적원인、설정목표、제정대책병실시,비교실시품관권활동전후량조환자복막염발생솔。결과개전품관권활동후거가복막투석환자복막염발생솔종30.0%하강도7.5%,량조비교차이유통계학의의(χ2=10.026, P<0.01)。결론장품관권활동응용우림상호리공작중,통과품관권성원간적상호협작,조출화분석발생문제적원인、설정목표、제정대책병실시화효과평개등,가촉진호리질량적지속개진。
Objective To evaluate the efficacy of quality control circle ( QCC) on reducing peritonitis rate in patients with peritoneal dialysis. Methods From January to November in 2012, 50 patients with peritoneal dialysis were chosen as the control group (before QCC). During January to November in 2013, 66 patients with peritoneal dialysis were selected for the experimental group ( after QCC) . Routine nursing was implemented in two groups, but QCC, which establish activity subject, investigate the reason of present situation, analysis the reason of peritonitis, set goals, develop strategies and implement, was carried out in the experimental group. We compared the differences between before and after the implementation of QCC activity in patients with peritonitis rates. Results The peritonitis incidence decreased from 30. 0% to 7. 5% in patients with peritoneal dialysis who carried out quality control circle at home, and there was statistically significant difference (χ2 =10. 026,P <0. 01). Conclusions we can promote the continuous improvement of nursing quality by cooperating between QCC members, find out and analyzing the cause of the problems, set goals, develop strategies and implementation, and perform the evaluation.