PDCA持续质量改进在降低失禁性皮炎发生率中的应用效果

张莉，杜红

（陕西中医药大学第二附属医院，陕西 咸阳，712000）

浏览次数：219次 下载次数：420次

摘要：

目的 探究应用PDCA质量管理工具降低失禁相关性皮炎（IAD）发生率的效果。方法 将2012年1月至12月住院失禁患者182例为对照组，将2013年1至12月的263例、2014年1至12月的281例住院失禁患者作为观察1组和观察2组。 通过回顾性分析对照组患者IAD发生率相关数据，对比在实施PDCA质量管理前、后，3组患者IAD的发生率。结果 观察1组和观察2组患者IAD发生率均显著低于对照组，差异显著（P<0.05）；观察2组患者IAD发生率均显著低于观察1组（P<0.05）。 结论 通过PDCA质量管理工具查找IAD发生率高的根本原因，制定有针对性的解决方案，建立标准化护理流程并进行质量追踪，可实现持续质量改进。

关键词：失禁性皮炎；PDCA；持续质量改进

中图分类号：R473文献标志码：A文章编号：2096-1413(2017)07-0138-02

Application effect of PDCA continuous quality improvement in reducing the incidence of IAD
ZHANG Li, DU Hong
(the Second Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang 712000, China)

ABSTRACT: Objective To explore the effect of applying PDCA quality management tools to reduce the incidence rate of IAD. Methods One hundred and eighty -two cases of the patients with IAD from January 2012 to December 2012 were selected as control group. Two hundred and sixty-three cases of the patients with IAD from January 2013 to December 2013 were selected as observation 1 group, while two hundred and eighty-one cases of the patients with IAD from January 2014 to December 2014 were selected as observation 2 group. The incidenle rate of IAD in the control group was respcospatively analyzed, and the incidence of IAD in the 3 groups was compared before and after the implementation of PDCA quality management. Results The incidence of IAD of the patients in observation group 1 and observation group 2 were lower than that of the patients in control group (P<0.05). In addition, the incidence of IAD the patients in observation group 2 was lower than that of the patients in observation group 1 (P<0.05). Conclusion Through PDCA quality management tools to find the root cause of the high incidence of IAD, the development of targeted solutions are proposed, standardized nursing process is established and quality is tracked, which can achieve the improvement of quality continuously.
KEYWORDS: IAD; PDCA; continuous quality improvement

参考文献：
[1] BLIZZ DZ,SAVIK K,HARMS S,et al.Prevalence and correlates of perineal dermatitis in nursing home residents [J].Nurs Res,2006,55(4): 243-251.
[2] JUNKIN J,SELEKOF JL.Prevalence of incontinence and associated skin injury in the acute care inpatient[J].J Wound Ostomy Continence Nurs,2007,34(3):260-269.
[3] 戴雪梅,窦英茹,朱庆捷,等.持续质量改进在ICU失禁性皮炎管理中的应用[J].护理管理杂志,2016,16(4):260-262.
[4] 上官志毅,陈冬梅,黄婷,等.PDCA循环在国内护理领域应用的新进展[J].护理管理杂志,2009,9(2):26-27.
[5] GRAY M,BEECKMAN D,BLISS DZ,et al.Incontinence -associated dermatitis: a comprehensive review and update[J].J Wound Ostomy Continence Nurs,2012,39(1):61-74.
[6] SHIGETA Y,NAKAGAMI G,SANADA H,et a1.Factors innuencing intact skin in women with incontinence using absorbent products: results of a cross-sectional, comparative study[J].Ostomy Wound Manage,2010, 56(12)：26-33.
[7] 杨青.应用PDCA循环管理提高护士处理低血糖的能力[J].护理研 究,2014,28(1):234-235.