CAJ | 학술논문

目的：减少针刺伤发生率，提高护士职业安全性。方法对2013年10月2日至2014年3月2日护士发生针刺伤情况进行调查分析，根据调查结果制定措施，并于2014年4月开展品管圈（QCC）活动。对2014年4月16日至9月16日护士发生针刺伤情况进行调查分析，并与QCC活动前进行比较，分析发生针刺伤的常见原因，评价QCC活动前后QCC成员的能力素质和团队作用。结果开展QCC活动后，医院科室针刺伤发生率[25.0%（5/20）]低于实施前[45.0%（9/20）]，差异有统计学意义（P<0.05）。发生针刺伤的常见原因为护士专业技能培训不足、操作不规范、防范意识差、患者不配合等。结论通过QCC活动的有效开展，降低了护士在针刺过程中针刺伤发生率，增强了圈员的团队精神，提高了医护人员的职业安全性。
목적：감소침자상발생솔，제고호사직업안전성。방법대2013년10월2일지2014년3월2일호사발생침자상정황진행조사분석，근거조사결과제정조시，병우2014년4월개전품관권（QCC）활동。대2014년4월16일지9월16일호사발생침자상정황진행조사분석，병여QCC활동전진행비교，분석발생침자상적상견원인，평개QCC활동전후QCC성원적능력소질화단대작용。결과개전QCC활동후，의원과실침자상발생솔[25.0%（5/20）]저우실시전[45.0%（9/20）]，차이유통계학의의（P<0.05）。발생침자상적상견원인위호사전업기능배훈불족、조작불규범、방범의식차、환자불배합등。결론통과QCC활동적유효개전，강저료호사재침자과정중침자상발생솔，증강료권원적단대정신，제고료의호인원적직업안전성。
Objective To reduce the occurrence rate of needle stick injury and to improve the occupational safety of nurses. Methods The occurrence situation of nurses needle stick injury from October 2,2013 to March 2,2014 was performed the investigation and analysis. According to the survey results ,the corresponding measures were formulated and the quality control circle (QCC) activities were carried out in April 2014. The occurrence situation of needle stick injury from April 16 to September 16,2014 was performed the investigation and analysis. The results were compared with that before QCC activities. The common causes of needle stick injury occurrence were analyzed. The capability and quality of QCC members and the team effects before and after QCC activities were evaluated. Results After the implementation of QCC activities,the occurrence rate of needle stick injuries in the departments was 25.0%(5/20),which was lower than 45.0%(9/20) before implementation,the difference was sta-tistically significant(P<0.05). The common causes of needle stick injuries occurrence were the insufficiency of professional skill training,non-standardized operation,poor prevention consciousness and patient incoordination,etc. Conclusion The occurrence rate of needle stick injuries of nurses during the puncture process is decreased by effectively conducting the QCC activities ,and the team spirit of QCC members is greatly enhanced and the occupational safety of medical care workers is improved.