CAJ | 학술논문

目的：探讨品管圈（ QCC ）活动在提高头颈肿瘤患者人工气道舒适度的应用效果。方法成立品管圈小组，通过品管圈活动分析影响人工气道舒适及气道排痰有效性的原因，并采取有效气道湿化、适时吸痰、舒适体位和促进睡眠等方法，将改进前后患者舒适状况进行比较。结果实施QCC活动后，人工气道患者的有效排痰、气道温湿度、吸痰、睡眠状况均得到改善（ t值分别为－4．278，－27．531，－18．860，－18．212；P＜0．01）；舒适度由39．40％提高至81．32％。品管圈活动目标达标率为120．91％，进步率为123．16％，最终形成护理操作标准化，建立人工气道护理质量标准及气管切开患者舒适护理常规，设计了一体化气切护理车。活动后，圈员的工作热情、个人表达能力、创造性思维、责任与荣誉、QCC手法运用及团队精神均有提高。结论运用品管圈对人工气道舒适管理，不仅提高了专科护理质量，还进行发明创造，为医院创造了经济效益及社会效益。
목적：탐토품관권（ QCC ）활동재제고두경종류환자인공기도서괄도적응용효과。방법성립품관권소조，통과품관권활동분석영향인공기도서괄급기도배담유효성적원인，병채취유효기도습화、괄시흡담、서괄체위화촉진수면등방법，장개진전후환자서괄상황진행비교。결과실시QCC활동후，인공기도환자적유효배담、기도온습도、흡담、수면상황균득도개선（ t치분별위－4．278，－27．531，－18．860，－18．212；P＜0．01）；서괄도유39．40％제고지81．32％。품관권활동목표체표솔위120．91％，진보솔위123．16％，최종형성호리조작표준화，건립인공기도호리질량표준급기관절개환자서괄호리상규，설계료일체화기절호리차。활동후，권원적공작열정、개인표체능력、창조성사유、책임여영예、QCC수법운용급단대정신균유제고。결론운용품관권대인공기도서괄관리，불부제고료전과호리질량，환진행발명창조，위의원창조료경제효익급사회효익。
Objective To explore the application effect of quality control cycle ( QCC ) on the improvement of artificial airway comfort.Methods The QCC was established, and then followed the steps of QCC to analyze man-made reasons and effective airway expectoration reasons.The patients′comfort improved by enhancing airway humidification, timely sputum suction, comfortable position and sleep, then we compared the level of comfort before and after treatment.Results The effective expectoration, airway humidification sputum suction, sleep quality significantly improve (t=-4.278,-27.531,-18.860,-18.212,respectively; P<0.01), and the comfort level increased 39.40%to 81.32%.The attainment rate of objective 120.91%, and the rate of progress 123.16%.Finally, the standardization of nursing procedure had been established, and we set up the nursing quality standard of artificial airway, nursing routine for patients with tracheostomy, and designed integrative tracheostomy nursing cart. Besides, the member of QCC were facilitated their work enthusiasm, personal expression ability, creativity, responsibility and sense of honor.Conclusions The use of QCC on artificial airway management improved the quality of specific nursing, also conducted inventions, and contributes to hospital and society economy.