CAJ | 학술논문

目的：探讨品管圈活动对PICC置管患者敷贴部位皮肤过敏率的影响。方法选取2014年1月1日至2014年6月30日在某三级甲等医院行PICC导管维护的肿瘤患者581例，实施品管圈活动前（2014年1月1日至3月15日）305例，实施品管圈活动后（2014年3月16日至6月30日）280例。观察实施品管圈前后皮肤过敏情况，评价品管活动前后QCC成员个人能力及团队功能。结果品管圈活动前后PICC置管患者敷贴部位皮肤过敏率由12.6%（38/301）降低到4.3%（12/280），差异有统计学意义（χ2=12.825，P<0.01）；QCC成员个人能力及团队功能得以提升。结论通过运用品管圈的管理方法，降低了PICC置管术后敷贴部位皮肤过敏率，说明QCC是护理工作有效科学管理方法。
목적：탐토품관권활동대PICC치관환자부첩부위피부과민솔적영향。방법선취2014년1월1일지2014년6월30일재모삼급갑등의원행PICC도관유호적종류환자581례，실시품관권활동전（2014년1월1일지3월15일）305례，실시품관권활동후（2014년3월16일지6월30일）280례。관찰실시품관권전후피부과민정황，평개품관활동전후QCC성원개인능력급단대공능。결과품관권활동전후PICC치관환자부첩부위피부과민솔유12.6%（38/301）강저도4.3%（12/280），차이유통계학의의（χ2=12.825，P<0.01）；QCC성원개인능력급단대공능득이제승。결론통과운용품관권적관리방법，강저료PICC치관술후부첩부위피부과민솔，설명QCC시호리공작유효과학관리방법。
Objective To study the effects of quality control circles(QCC) activities in reducing skin allergy rate on stick-ing spots after PICC catheterization. Methods A total of 581 tumor patients treated with PICC catheterization admitted by a cer-tain grade A class 3 hospital from January 1,2014 to June 30,2014 were collected,including 305 cases before joining in quality control circles(QCC) activities(January 1,2014-March 15,2014) and 280 cases after joining in quality control circles(QCC) activities(March 16,2014-June 30,2014). It is observed the skin allergy condition, personal abilities and team functions of QCC members before and after the implementation of QCC activities. Results The skin allergy rate[12.6%(38/301)] of the patients with PICC catheterization before QCC activities was reduced to 4.3%(12/280)] after QCC activities. The difference had statistical sig nificance(χ2=12.825,P<0.01). The individual abilities and team functions of QCC members were improved. Conclusion The ap-plication of QCC activities may reduce the allergy rate of the PICC catheterization ,demonstrating that QCC is a scientific man-agement method for nursing work.