FOCUS-PDCA在提高结核菌素皮肤试验规范性中的效果分析 |
| 侯红芳 |
| 甘肃省平凉市崆峒区东关街道办事处过店街社区卫生服务中心，甘肃平凉，744000 |
摘要：目的 探究 FOCUS-PDCA 在提高结核菌素皮肤试验规范性中的效果。方法 收录 2023.8——2025.8 期间我院接受结核菌素皮肤试验患者，将 2023 年 8 月至 2024 年 7 月期间收录的 150 例患者纳入对照组，实施常规皮试护理及管理方案；2024 年 8 月至 2025 年 8 月期间收录的 150 例患者纳入观察组，应用 FOCUS-PDCA 管理模式；评价组间管理效果差异。结果 注射部位准确率、皮丘形成合格率、注射角度准确率、注射深度控制合格率、注射剂量精确度观察组较对照组更高，P＜0.05。皮试操作规范性评分观察组较对照组更高，P＜0.05。医护人员操作满意度评分观察组较对照组更高，P＜0.05。皮试相关并发症发生率观察组（4.67%）较对照组（12.00%）更低，P＜0.05。结论 在结核菌素皮肤试验过程中配合 FOCUS-PDCA 管理模式，对于提高结核菌素皮肤试验规范性及操作达标率、提高医护人员操作满意度的价值显著，且能一定程度上降低并发症发生率，保证皮试安全性。
关健词：结核菌素；皮肤试验；FOCUS-PDCA 管理模式；规范性；达标率；满意度；并发症
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Analysis of the Effect of FOCUS-PDCA in Improving the Standardization of Tuberculin Skin Test |
Hongfang Hou
Guodian Street Community Health Service Center, Dongguan Street Office, Kongtong District, Pingliang City,Gansu Province，Pingliang, Gansu744000, China
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Abstract：Objective Explore the effectiveness of FOCUS-PDCA in improving the standardization of tuberculin skin tests. Methods Patients who underwent tuberculin skin tests in our hospital from August 2023 to July 2024 were included in the control group, and a routine skin test nursing and management plan was implemented; 150 patients enrolled between August 2024 and August 2025 were included in the observation group and subjected to FOCUS-PDCA management mode; Evaluate the differences in management effectiveness between groups.enrolled between August 2024 and August 2025 were included in the observation group and subjected to FOCUS-PDCA management mode; Evaluate the differences in management effectiveness between groups. Results The accuracy of injection site, qualified rate of skin mound formation, accuracy of injection angle, qualified rate of injection depth control, and accuracy of injection dose were higher in the observation group than in the control group, P＜0.05。 The observation group had a higher score for the standardization of skin test procedures compared to the control group, P＜0.05。 The satisfaction score of medical staff in the observation group was higher than that in the control group, P＜0.05。 The incidence of skin test related complications in the observation group (4.67%) was lower than that in the control group (12.00%), P＜0.05。Conclusion Cooperating with the FOCUS-PDCA management mode in the process of tuberculin skin testing has significant value in improving the standardization and compliance rate of tuberculin skin testing, increasing the satisfaction of medical staff, and reducing the incidence of complications to a certain extent, ensuring the safety of skin testing.
Keywords : Tuberculin; Skin test; FOCUS-PDCA management mode; Normality; Compliance rate; Satisfaction; complication
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