品管圈活动在急危重症患者压疮管理中的应用效果  

Effect of quality control circle activity in management of pressure ulcer in critically ill patients

作　　者：张红梅[1] 李艳梅[1] 孙红[1] 史冬雷[1] 赵艳伟[1] 胡英莉[2] 孟彦苓[3] Zhang Hongmei Li Yanmei Sun Hong Shi Donglei Zhao Yanwei Hu Yingli Meng Yanling(Nursing Department, Peking Union Medical College Hospital, Belling 100730, China （Zhang HM, Li YM, Sun H, Shi DL, Zhao YW Emergency Department, Peking Union Medical College Hospital, Beijing 100730, China （ Hu YL Medical Intensive Care Unit, Peking Union Medical College Hospital, Beijing 100730, China （ Meng YL)

机构地区：[1]北京协和医院护理部,100730 [2]北京协和医院急诊科 [3]北京协和医院MICU

出　　处：《中华现代护理杂志》2016年第13期1846-1849,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨品管圈活动对于急危重症患者压疮管理的效果。方法运用质量管理工具，对急诊抢救室和内科重症监护室（MICU）收治的急危重症患者发生院内压疮事件的原因进行分析和改进，并进行改进前后效果比较。结果急诊抢救室压疮发生率改善前为3．6％；改善后为1．0％；MICU 压疮发生率改善前为7．8％，改善后为3．6％，差异均有统计学意义（χ2值分别为7．138，8．253；P ＜0．01）。结论通过开展品管圈活动，实施增加皮肤减压工具、规范压疮评估流程、加强医护合作、组织护士培训，发挥职能部门协调与指导功能等对策，有效降低了急危重症患者压疮发生率。Objective To explore the effect of quality control circle activity on pressure ulcer management in critically ill patients.Methods Quality management tools were applied to analysis the causes of hospital pressure ulcer event in critically ill patients of emergency room and medical intensive care unit （MICU） along with improving those tools.And then,effects were compared before and after improvement.Results The incidence of pressure ulcer was 3.6% before improvement and 1 .0% after improvement in emergency room;the incidence of pressure ulcer was 7.8% before improvement and 3.6% after improvement in MICU;there were statistical significance in all of them （χ2 =7.1 38,8.253;P 〈0.01 ）.Conclusions Quality control circle activity effectively decreased the incidence of pressure ulcer in critically ill patients by adding the tool for skin decompression,standardizing the process of pressure sore assessment,strengthening the cooperation between doctor and nurse,organizing nurses training and playing coordination and guidance functions of functional departments.

关 键 词：品管圈 急危重症患者 压疮管理 

分 类 号：R473[医药卫生—护理学]