CAJ | 학술논문

目的：探讨品管圈活动在降低精神科患者意外风险中的应用的效果。方法成立“品管圈”活动小组，以降低精神科患者意外风险因素为主题，遵循PDCA循环的工作程序开展品管圈活动，分析病房存在的各种危险因素，进行现状分析，制定实施对策，检验效果等程序。比较开展品管圈活动前后精神科患者意外风险因素以及意外事件发生率，并采用评分表评价圈员的满意度。结果开展品管圈活动后，楼道无人值班、床单位有危险物品、未按规定陪伴入厕发生率明显降低，且与活动前比较差异有统计学意义（P ＜0．05）。意外风险总发生率活动前后比较，差异有统计学意义（P ＜0．01）。活动前后外走、噎食、跌倒、攻击、自杀的发生率比较，差异无统计学意义（P ＞0．05）。但意外事件总发生率两组比较，差异有统计学意义（P ＜0．05）。活动前后圈员的自信心和对品管圈认可方面比较差异有统计学意义（P＜0．01）。结论开展品管圈活动降低精神科患者意外风险因素，减少了意外事件的发生，同时也提升了护士的自信心，激发了护士的主观能动性，促进了精神科护理质量的持续改进，有利于护理团队的建设。
목적：탐토품관권활동재강저정신과환자의외풍험중적응용적효과。방법성립“품관권”활동소조，이강저정신과환자의외풍험인소위주제，준순PDCA순배적공작정서개전품관권활동，분석병방존재적각충위험인소，진행현상분석，제정실시대책，검험효과등정서。비교개전품관권활동전후정신과환자의외풍험인소이급의외사건발생솔，병채용평분표평개권원적만의도。결과개전품관권활동후，루도무인치반、상단위유위험물품、미안규정배반입측발생솔명현강저，차여활동전비교차이유통계학의의（P ＜0．05）。의외풍험총발생솔활동전후비교，차이유통계학의의（P ＜0．01）。활동전후외주、일식、질도、공격、자살적발생솔비교，차이무통계학의의（P ＞0．05）。단의외사건총발생솔량조비교，차이유통계학의의（P ＜0．05）。활동전후권원적자신심화대품관권인가방면비교차이유통계학의의（P＜0．01）。결론개전품관권활동강저정신과환자의외풍험인소，감소료의외사건적발생，동시야제승료호사적자신심，격발료호사적주관능동성，촉진료정신과호리질량적지속개진，유리우호리단대적건설。
Objective To explore the effect of Quality Control Circles (QCC) to decrease acciden‐tal risks in psychiatric patients .Methods According to working procedure of PDCA circle ,the QCC was carried out to decrease the accidental risk factors ,analyze various existing risk factors at current situa‐tion ,make the strategy and test the effect .The risk factors and accidental event incidence were compared before and after QCC ,and the satisfactory degree was assessed using the scale .Results There were sta‐tistically significant differences on nobody on duty ,dangerous items at bed ,no companying with toilet before and after QCC (P < 0 .05) .There was statistically significant differece on incidence of accidental risks (P< 0 .01) .The accident events were significant differences (P< 0 .05)except to go outside ,cho‐king ,fall ,attack and suicide .There were statistically significant differences on the nurses'self -confi‐dence and acceptance before and after QCC (P < 0 .01) .Conclusions QCC programme may reduce the accidental risk factors and incidence of accidental events in psychiatric patients ,increase the nurses's self-confidence and subjective initiative ,promote the continuous improvement of psychiatric nursing quali‐ty ,and be helpful for the establishment of nurse's group .