CAJ | 학술논문

[目的]探讨护理持续质量改进(CQI)对减少重症监护室(ICU)失禁相关性皮炎(IAD)发生率的效果。[方法]对2013年7月—2013年12月 IAD 病例进行分析,于2014年1月—2014年6月运用 CQI 程序进行质量改进,包括成立质量改进小组、分析发生原因、建立预期目标、开展循证培训,制订预防方案,改善护理流程等,评价 CQI 前后的效果。[结果]实施 CQI 后,IAD 的总发生率从41.41%降至29.66%,差异有统计学意义(P <0.05),其中重度 IAD 的发生率从8.59%降至2.76%,差异有统计学意义(P <0.05)。[结论]实施 CQI 减少了 IAD 在 ICU 的发生、发展。
[목적]탐토호리지속질량개진(CQI)대감소중증감호실(ICU)실금상관성피염(IAD)발생솔적효과。[방법]대2013년7월—2013년12월 IAD 병례진행분석,우2014년1월—2014년6월운용 CQI 정서진행질량개진,포괄성립질량개진소조、분석발생원인、건립예기목표、개전순증배훈,제정예방방안,개선호리류정등,평개 CQI 전후적효과。[결과]실시 CQI 후,IAD 적총발생솔종41.41%강지29.66%,차이유통계학의의(P <0.05),기중중도 IAD 적발생솔종8.59%강지2.76%,차이유통계학의의(P <0.05)。[결론]실시 CQI 감소료 IAD 재 ICU 적발생、발전。
Objective:To probe into the effect of continuous quality improvement (CQI)for reducing the inci-dence of incontinence associated dermatitis (IAD)in ICU.Methods:The IAD cases were analyzed from July to December in 2013,the CQI program was used for quality improvement from January June in 2014,including the establishment of quality improvement teams,analysis of the causes,establishment of desired objectives,car-rying out the evidence based training,and development of prevention programs,improving the nursing proces-ses,then to evaluate the effect before and after CQI.Results:After implementation of CQI,the total incidence of IAD was decreased significantly from 41.41% to 29.66% (P <0.05),and the incidence of mid severe IAD was decreased significantly from 8.59% to 2.76% (P <0.05).Conclusion:The implementation of CQI has reduced the occurrence and development of IAD in ICU.