品管圈对提高压疮与失禁性皮炎鉴别率的效果

Effect of Quality Control Circle in improvement of identification rate between the pressure ulcer and incontinence-associated dermatitis

目的：探讨品管圈在提高压疮与失禁性皮炎鉴别率中的应用效果。方法成立品管圈小组，选定主题进行现状调查，分析压疮与失禁性皮炎鉴别率低的原因，制定对策并应用PDCA循环方法进行改进实施。结果通过开展品管圈活动，压疮与失禁性皮炎鉴别率由活动前12．90％提升至活动后90．32％，差异有统计学意义（χ2＝34．165，P＜0．05）；根据要因分析产生的不良事件例数活动后较活动前下降。结论神经内科ICU应用品管圈管理方法可以有效提高护士专业技术能力，建立完善压疮与失禁性皮炎标准化护理管理流程，提高患者满意度。

Objective To investigate the application and effect of Quality Control Circle in improvement of identification rate between pressure ulcer and incontinence -associated dermatitis .Methods Set up the Quality Control Circle team , selected theme and conducted into investigation , analyzed the reason of low identification rate between pressure ulcer and incontinence-associated dermatitis , made plans and applied the PDCA circulation method to improve the implementation .Results After the study , the identification rate between pressure ulcer and incontinence-associated dermatitis was obviously raised , from the previous rate of 12.9%to 90.32%, and the difference was statistically significant （χ2 =34.165,P〈0.05）.And the number of adverse events based on the causal factor analysis was significantly lowed than that before .Conclusions The application of Quality Control Circle in the ICU of Neurology can effectively improve the nurses ’ professional technical skills , establish standardized nursing management process of pressure ulcer and incontinence -associated dermatitis , and improve the patient satisfaction .