CAJ | 학술논문

目的：探讨品管圈活动在降低昏迷患儿压疮发生率中的效果。方法：收集2012年1-6月份的昏迷患儿37例设为品管圈活动前对照组，2012年7-12月份的昏迷患儿32例设为品管圈活动后组，成立品管圈活动小组，确立主题，对品管圈活动前昏迷患儿压疮发生情况进行现状调查、要因分析、设定目标、制定对策并实施，然后比较品管圈活动前后昏迷患儿压疮发生率。结果：开展品管圈活动后患儿压疮发生率6.3%，明显低于活动前27.0%，比较差异有统计学意义（χ2=5.156，P<0.05）。结论：品管圈活动在降低昏迷患儿压疮发生率中取得了较好的效果，同时，参与活动的小组成员收获了无形成果，有效提高了解决实际问题的能力，值得在临床推广应用。
목적：탐토품관권활동재강저혼미환인압창발생솔중적효과。방법：수집2012년1-6월빈적혼미환인37례설위품관권활동전대조조，2012년7-12월빈적혼미환인32례설위품관권활동후조，성립품관권활동소조，학립주제，대품관권활동전혼미환인압창발생정황진행현상조사、요인분석、설정목표、제정대책병실시，연후비교품관권활동전후혼미환인압창발생솔。결과：개전품관권활동후환인압창발생솔6.3%，명현저우활동전27.0%，비교차이유통계학의의（χ2=5.156，P<0.05）。결론：품관권활동재강저혼미환인압창발생솔중취득료교호적효과，동시，삼여활동적소조성원수획료무형성과，유효제고료해결실제문제적능력，치득재림상추엄응용。
Objective: To discuss the results and experience of the Quality Control Circle (hereafter referred to as QCC) in reducing the incidence of nosocomial decubitus in comatose children.Method: Firstly, to collect the data of 37 comatose children during the period from January to June in 2012 as the control group before QCC activity and that of 32 children during the second half of 2012 as the experimental group after the activity. Secondly, to establish a QCC activity group and identify the theme to analyze the current situation and causes of the decubitus occurrence of comatose children before QCC activity, then, set targets, make plans and put into practice. Thirdly, to compare the incidence rate of decubitus in comatose children before and after the activity.Result: The decubitus incidence reduced to 6.3% after QCC activity, which was significantly lower than that of 27.0% before the activity. The difference was statistically significant (χ2=5.156,P<0.05). Conclusion: The application of QCC activity in reducing the incidence of nosocomial decubitus in comatose children is effective. Meanwhile, participant group members gained intangible benefits, improving the ability of solving practical problems. It is worth popularizing in clinical applications.