以品管圈手法提升門診氣喘病患吸入性藥物使用正確率

Applying the Quality Control Circle Technique to Improve Usage of Inhaled Medication in Asthma Patients

氣喘是全球性的慢性呼吸道疾病，醫師依據氣喘治療指引訂定病患氣喘控制計劃，正確使用吸入性藥物是治療的重要環節之一，但吸入型藥物種類眾多，文獻指出即使已接受過衛教，仍有59%的操作錯誤，因此期望藉由品質改善活動提升門診氣喘病患執行吸入性藥物技巧的正確率。成立品管圈，進行數據收集，分析真因及擬定對策實施，包含設計簡單且重點化的衛教口訣、改變門診衛教流程及建構結構化病歷做系統分析。正確執行吸入性藥物操作技巧的比率從64.9%上升至98%，氣喘疾病認知率由31.8%上升至70.2%，病患滿意度由80.3%上升至100%。品管圈活動有效提升病患吸入性藥物操作技巧正確率、疾病認知率及滿意度，整體成效顯著。

Asthma is a chronic respiratory disease affecting children and adults globally. Based on current asthma treatment guidelines, physicians may develop a management plan for patients, wherein the correct use of inhaled drugs is of critical importance. while studies have reported that despite patient education, the operational error rate among asthma patients is approximately 59%. Therefore, the objective of the present study was to implement quality development activities to improve the skills of outpatient asthma patients related to the correct usage of inhaled medications. We established a quality control circle (QCC) to collect data, analyze the causes of operational misuse, and formulate countermeasures to improve usage effectiveness. The QCC employed a simple design, primarily focused on developing health education programs, modifying the outpatient health education process, and aggregating structured medical records to facilitate systematic analysis. After implementation of our QCC, the correct usage rate of inhaled medications increased from 64.9% to 98%, while the asthma disease awareness rate increased from 31.8% to 70.2%, and the patient satisfaction rate increased from 80.3% to 100%. The QCC activities we developed here notably enhanced the skills related to the correct usage of inhaled drugs in asthma patients; furthermore ,the disease awareness rate and patient satisfaction rates noted significant improvements.