CAJ | 학술논문

目的：探讨应用品管圈降低手术相关压疮发生率的实践效果。方法成立品管圈小组，确定降低手术相关压疮发生率为活动主题，选择2013年5—7月手术患者260例(品管圈活动前组)，对手术相关压疮的发生情况进行现状调查。通过设定目标、查找导致手术相关压疮发生的原因，采取有针对性的措施进行持续质量改进。随即对2013年10—12月手术患者282例(品管圈活动后组)手术相关压疮发生情况进行统计。评价实施品管圈活动前后手术相关压疮发生率、手术室护士压疮相关知识掌握情况及手术体位摆放操作规范率等指标。结果品管圈活动后，手术相关压疮发生率由9.3%下降到1.4%，手术室护士压疮知识掌握情况及体位摆放规范度均较品管圈活动前有了明显的改善，差异有统计学意义(P<0.05)。结论品管圈活动对降低手术相关压疮发生率，提高手术室护士理论知识水平和体位摆放规范度均有显著效果，并有助于发挥护士主观能动性，提高科室团队凝聚力和解决问题的能力。
목적：탐토응용품관권강저수술상관압창발생솔적실천효과。방법성립품관권소조，학정강저수술상관압창발생솔위활동주제，선택2013년5—7월수술환자260례(품관권활동전조)，대수술상관압창적발생정황진행현상조사。통과설정목표、사조도치수술상관압창발생적원인，채취유침대성적조시진행지속질량개진。수즉대2013년10—12월수술환자282례(품관권활동후조)수술상관압창발생정황진행통계。평개실시품관권활동전후수술상관압창발생솔、수술실호사압창상관지식장악정황급수술체위파방조작규범솔등지표。결과품관권활동후，수술상관압창발생솔유9.3%하강도1.4%，수술실호사압창지식장악정황급체위파방규범도균교품관권활동전유료명현적개선，차이유통계학의의(P<0.05)。결론품관권활동대강저수술상관압창발생솔，제고수술실호사이론지식수평화체위파방규범도균유현저효과，병유조우발휘호사주관능동성，제고과실단대응취력화해결문제적능력。
Objective To explore the effect of quality control circle ( QCC) on reducing the incidence of pressure ulcer during operation. Methods The quality control circle was organized by who aimed to reduce the incidence of pressure ulcer for patients undergoing operations. A total of 260 cases of operating patients were selected as control group from May 2013 to July 2013 ( Before the QCC group) and investigated the conditions of the pressure ulcer form during operation. By a series of QCC activity, we set target, found out the cause of pressure ulcer during operation, and took countermeasures to improve quality continually. A total of 282 operating patients had been accounted for the incidence of pressure ulcer from October 2013 to December 2013 (after the QCC group). We compared the skin damage related operation, the knowledge control of pressure ulcer among theatre nurses, standard rate of operation posture, et al. Results After the QCC activities, the rate of pressure ulcer was reduced from 9. 3% to 1. 4%, nursing knowledge control of the pressure ulcer among theatre nurses and standard rate of operation posture were improved obviously compared these of group before QCC (P<0. 05). Conclusions The QCC activities can minimize the incidence rate of pressure ulcer, but promote knowledge control of pressure ulcer among theatre and the standard rate of operation posture.