CAJ | 학술논문

目的：提高ICU患者中心静脉导管（ CVC）维护的合格率，减少CVC留置后不良事件的发生。方法通过品管圈（ Quality Control Circle，QCC）的建立，确定以“提高ICU患者中心静脉导管维护合格率”为活动主题，把握现状，设定目标，分析原因、制定及实施对策，比较QCC活动前后ICU患者CVC维护的合格率和CVC留置后不良事件的发生率。结果 QCC活动后的实验组CVC维护合格率为91．00％，与QCC活动前的对照组维护合格率78．00％比较，χ2＝6．45，P＜0．05，差异具有统计学意义；CVC留置后不良事件：QCC活动后的实验组5例（5．00％），与QCC活动前的对照组19例（19．00％）相比，χ2＝9．28， P＜0．05，差异具有统计学意义。结论运用QCC活动能明显提高CVC维护的合格率、降低CVC留置后不良事件的发生率，值得临床推广应用。
목적：제고ICU환자중심정맥도관（ CVC）유호적합격솔，감소CVC류치후불량사건적발생。방법통과품관권（ Quality Control Circle，QCC）적건립，학정이“제고ICU환자중심정맥도관유호합격솔”위활동주제，파악현상，설정목표，분석원인、제정급실시대책，비교QCC활동전후ICU환자CVC유호적합격솔화CVC류치후불량사건적발생솔。결과 QCC활동후적실험조CVC유호합격솔위91．00％，여QCC활동전적대조조유호합격솔78．00％비교，χ2＝6．45，P＜0．05，차이구유통계학의의；CVC류치후불량사건：QCC활동후적실험조5례（5．00％），여QCC활동전적대조조19례（19．00％）상비，χ2＝9．28， P＜0．05，차이구유통계학의의。결론운용QCC활동능명현제고CVC유호적합격솔、강저CVC류치후불량사건적발생솔，치득림상추엄응용。
Objective To improve the qualified rate of central venous catheter ( CVC) maintenance, and to reduce the occurrence of adverse events after CVC catheter in ICU patients.Methods Setting up a quality control circle ( QCC ) activity group and designing an activity theme: 'to improving the qualified rate of CVC maintenance in ICU patients'.It is responsible for grasping situation, setting goals, analyzing reasons, creating and implementing countermeasures.Afterwards, the qualified rate of CVC maintenance and the occurrence of adverse events in the activities before and after were compared.Results After activities, the CVC maintain qualified rate of experimental group is 91%, and its rate was 78%before activities.In statistics,χ2 =6.45, P<0.05, the difference was statistically significant.In the adverse reaction, the experimental group had 5 cases (5%) after QCC, while it had 19 cases (19%) before.The contrast was stark, χ2 =9.28; P<0.05, the difference was statistically significant.Conclusions The QCC activity can significantly improve the qualified rate of CVC maintenance, and reduce the occurrence of adverse events after CVC catheter.It is worthy of clinical application.