CAJ | 학술논문

目的：探讨降低连续性血液净化（CBP)非计划性下机发生率的措施及实践效果。方法：对危重病人CBP非计划性下机情况进行统计，分析原因，制定对策，落实措施，分析比较活动前后非计划性下机发生率的差异和协作科室护士满意度变化。结果：CBP病人非计划性下机发生率从活动前的25.45%降低至活动后的10.87%，差异具有统计学意义(P<0.01)；协作科室护士满意度明显提高（P<0.05）。结论：本实践活动可明显降低CBP病人非计划下机的发生率，密切多学科之间的协作程度，提高CBP治疗的护理质量。
목적：탐토강저련속성혈액정화（CBP)비계화성하궤발생솔적조시급실천효과。방법：대위중병인CBP비계화성하궤정황진행통계，분석원인，제정대책，락실조시，분석비교활동전후비계화성하궤발생솔적차이화협작과실호사만의도변화。결과：CBP병인비계화성하궤발생솔종활동전적25.45%강저지활동후적10.87%，차이구유통계학의의(P<0.01)；협작과실호사만의도명현제고（P<0.05）。결론：본실천활동가명현강저CBP병인비계화하궤적발생솔，밀절다학과지간적협작정도，제고CBP치료적호리질량。
Objective:To investigate the effects of Quality Control Circle (QCC) in decreasing the rate of unplanned stop of Continuous Blood Puriifcation (CBP). Methods:Decreasing unplanned stop rate of continuous blood puriifcation was set as the primary subject of QCC activities. The authors investigated the incidence of unplanned stop of CBP, analyzed reasons and established countermeasures accordingly. And the differences of unplanned stop rate of CBP and satisfaction level of nurses in cooperation department before and after QCC were compared. Results:The unplanned stop rate of CBP decreased from 25.45%to 10.87%after QCC (P<0.01). And the satisfaction degree of nurses increased signiifcantly (P<0.05).Conclusion:QCC activities could decrease the unplanned stop rate of CBP and improve the cooperation of multi-disciplinary team and care quality of CBP.