品管圈对加强急诊抢救室患者预防压疮管理的作用

Quality Control Circle the Prevention of Pressure Ulcer Management Role to Strengthen the Emergency Patients in Resuscitation Room

目的:探讨品管圈活动在急诊抢救室患者预防压疮管理方面的作用。方法成立'抢救心行动'品管圈,通过现状调查、原因分析、设定目标、实施对策等程序,开展品管圈活动。结果品管圈活动开展后与开展前比较,抢救室难免压疮申报率(24.91%vs.77.49%,P<0.001)及评估正确率(50.72%vs.84.15%,P<0.001)提高,压疮发生率(6.74‰vs.2.15‰,P<0.05)下降,差异有统计学意义,活动后未再发生'可避免难免压疮'。结论品管圈的实施促进了急诊科预防压疮管理,增强了护士压疮管理意识,提高急诊抢救患者难免压疮的预见性,降低患者压疮发生率,未发生可避免难免压疮。

Objective To discuss the management role of QCC to prevent the patients in emergency resuscitation room from pressure ulcer.Methods Establish the QCC named'rescue the heart action'first.Through investigation,cause analysis,goal set ing,implementation strategies,etc,carry out the quality control circle activities.Results Compare before and after the QCC activities,the declare rate of Unavoidable pressure ulcer(24.91%vs.77.49%,P<0.001)and the accuracy rate of evaluate(50.72%vs.84.15%,P<0.001)increased significantly,the rate of pressure ulcer(6.74‰vs.2.15‰,P<0.05)decreased significantly,the dif erence was statistical y significance.There had not happened'the inevitable pressure sore which can avoid'.Conclusion QCC can promote the management of pressure ulcer prevention,and enhances the consciousness about pressure ulcer management of emergency department nurses,no more the inevitable pressure ulcer can avoid.