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PDCA832000【】PDCA。－－－PDCA。。PDCA33．67%78．12%57．98%93．26%31．94%86．86%65．71%92．11%P＜0．05。PDCA。【】PDCAＲ473．5BＲoleofPDCACycleinImprovingHandHygieneComplianceofNursesinHemodialysisＲoomWANGChun-lianXUXin-lingLIYu-qinDepartmentofNephrologyThePeople＇sHospitalofXinjiangShiheziXinjiangShihezi832000【Abstract】ObjectiveToexploretheapplicationofPDCAcyclemanagementonhandhygienecomplianceofnursesinhemodialysisroom．MethodsTheapplicationeffectsofPDCAcyclesofplanning-do-check-actiononcontinuousqualityim-provementofhandhygieneofnursesinhemodialysisroom．Itisincludingstrengtheningall-staff-trainingemphasizingprocessmanagementandperiodicalinspectionwithrandomsampling．ＲesultsAftertheimplementationofPDCAcycleman-agementtherateofwashinghandbeforecontactingthepatientsincreasedfromthe33．67%beforetheimplementationto78．12%aftertheimplementationincreasingfrom57．98%to93．26%aftercontactingthepatientsandincreasingfrom31．94%to86．86%afterremovingtheglovesthenursehanddetectionqualifiedrateofbacteriaincreasedfrom65．7%to94．7%thedifferencewerestatisticallysignificantP＞0．05．ConclusionTheapplicationofPDCAcycleofplanning-do-check-actiononcontinuousqualityimprovementcaneffectivelyimprovehandhygieneofnursesinhemodialysisroom．【Keywords】PDCACycleHandHygieneCompliance。、12。、、3。－－－PDCA。11．12231．2±13．52128＜39。1．220132－5·87·136、、。20138－11PDCA。1．3PDCA1．3．1Plan。1．3．1．138．5%30．1%31．94%。3．0%－5．2%4。1．3．1．230．7%、。1．3．1．3、。1．3．1．4、、、。1．3．2Do。1．3．2．1、、、。1．3．2．2、5。1．3．2．3“”“”“”“”。1．3．2．4661%。。1．3．3Check1．3．3．1、。1．3．3．2。1．3．3．3。1．3．3．4、。1．3．4ActionPDCA。1．4SPSS17．0χ2Fisher'sP＜0．05。22．1Fisher's4P＜0．051。·97·20142361JournalofNongkenMedicineFeb．2014Vol．36No．11PDCA%%Fisher's221463．64222090．910．069221254．55221986．360．045221254．55222090．910．016221568．182222100．000．009221359．09222195．450．0091106660．0011010292．732．2、、4PDCAP＜0．052。2PDCA%%χ2P1966633．6722417578．1284．461＜0．0118810957．9819318093．2664．736＜0．011916131．9423620586．86135．594＜0．0117913173．1818817190．9619．874＜0．014747100．006565100．00269．544＜0．0180141451．6990679687．862．3PDCA65．71%92．11%χ27．773P＜0．01。37。《》、8。PDCA100%。PDCA、、3．56mL/10．30mL/。PDCA、、9。PDCA、。PDCA。1．J．200874278～2792．J．2005154426～4283J．200434514．J．201121122411～24135．J．20086202116．J．201048387·08·1367．HIV、TP、HBVHCVJ．2012254432～4338．2010M．20109．J．2006162140～1422013－12－21121．8300012．830001【】。2013、。、、、、。201112012122013120141、、、。P＜0．05、、、P＜0．05。。【】Ｒ197．323．2AThePracticeofWholeCourseFirst-rateServicefromthePhysicalExaminationCenterYANGYuan1ZHAOChang-wei21．ThePhysicalExaminationCenterofPeople'sHospitalofXinjiangUygurAutonomousＲegionUrumqi8300012．TheContinuingEducationDepartmentofScienceandEducationCenterofPeople'sHospitalofXinjiangUygurAutonomousＲegionUrumqi830001【Abstract】ObjectiveToanalyzethepracticeandeffectofwholecoursefirst-rateservicefromthephysicalexamina-tion．MethodsToconductthewholecoursefirst-rateservicein2013itmeanspre-hospitalservice、theprocessserviceofphysicalexaminationandpostphysicalexaminationservicepre-hospitalserviceconductsthepre-hospitalcoachingandcommunicationtomedicalcustomersaswellastheformulatingthemedicalexaminationprocess、theopenandprogrammedphysicalprocessthepostphysicalexaminationservicemeansinformationizedandhealthymanagementphysicalexaminationextendingservicestodivideintotwogroupsaccordingtodifferentphysicalexaminationtimequantumthecontrolgroupisfromJanuary2011toDecember2012theobservationgroupisfromJanuary2013toJanuary2014comparethesituationofmedicalvolumegrowthintwogroupsaswellasthesatisfactionofhealthmanagement、featuringservices、serviceefficien-cy、serviceprocess．ＲesultsThemedicalvolumegrowthofobservationgroupisobviouslyhigherthanthatofcontrolgroupP＜0．05Thesatisfactionofphysicalexaminationhealthymanagement、featuringservice、serviceefficiency、serviceprocessofobservationgroupisobviouslyhigherthanthatofcontrolgroupP＜0．05．ConclusionThephysicalexamina-·18·20142361JournalofNongkenMedicineFeb．2014Vol．36No．1