【摘要】 目的探讨品管圈管理在降低神经内科重症监护病房(intensive care unit,ICU)失禁性皮炎发生率中的应用效果。方法成立品管圈小组,选定主题后进行现状把握,目标设定,分析ICU失禁性皮炎发生率高的原因,制订对策并应用。品管圈活动前后比较护士综合素质得分情况;两组护士失禁性皮炎相关知识掌握、失禁性皮炎风险评估、失禁性皮炎相关管理流程达标情况;两组患者失禁性皮炎发生率情况。结果活动后护士失禁性皮炎相关知识掌握、风险评估、管理流程均达到目标值;活动后护士的专业知识、解决问题能力、品管手法、自信心、沟通协调能力、团队凝聚力及和谐度等方面得分均高于活动前,前后比较,均P<0.01,差异具有统计学意义;活动后失禁性皮炎发生率明显低于对照组,前后比较,P<0.001,差异具有统计学意义。结论神经内科ICU应用品管圈管理方法可有效降低神经内科ICU失禁性皮炎发生率,提高护士专业技术综合能力。更多还原

【Abstract】 Objective To explore the effect of quality control circle on the prevalence of incontinence-associated dermatitis.Methods We set up a quality control circle group, analyzing the current situations, set the goals and analysed the causes of the high incidence of incontinence-associated dermatitis in the ICU after deciding a specific subject and then we developed strategies. The two groups were compared in terms of knowledge on the dermatitis, assessment of the dermatitis risks, the dermatitis-related management and the incidence of incontinence-associated dermatitis. Results After manipulation of the quality control circle, the aims of incontinence dermatitis related knowledge, risks assessment and management process were all achieved. The scores on nurses’ knowledge on the dermatitis, ability in solving problems, quality control operation, confidence, ability in coordination, and team work spirits were all significantly higher than those before the manipulation of the circle(P <0.01) and the incidence of incontinence-associated dermatitis was statistically significantly lower(P<0.001). Conclusion The management based on the quality control in the ICU of neurology department can effectively reduce the neurology incidence of incontinence-associated dermatitis and improve the nurses professional skills.更多还原