研究生: |
林致祥 Chih-Hsiang Lin |
---|---|
論文名稱: |
壓力衣修改原因分析與品質機能展開應用研究 The Defect Analysis and Quality Function Deployment Analysis of Requested Alteration for Pressure Garment |
指導教授: |
紀佳芬
Chia-Fen Chi |
口試委員: |
王茂駿
Mao-Chun Wamg 黃雪玲 Hsueh-Ling Huang 洪瑞雲 Jui-Yun Hung 彭雲宏 Yun-Hung P'eng 謝光進 kuang-chin Hsieh 葉瑞徽 Jui-Hui Yeh |
學位類別: |
博士 Doctor |
系所名稱: |
管理學院 - 工業管理系 Department of Industrial Management |
論文出版年: | 2008 |
畢業學年度: | 96 |
語文別: | 中文 |
論文頁數: | 86 |
中文關鍵詞: | 壓力衣 、瑕庛分析 、原因分析 、品質機能展開 、品質屋 |
外文關鍵詞: | Pressure Garment, Defect Analysis, Causal Analysis, QFD, HoQ |
相關次數: | 點閱:243 下載:12 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
雖然壓力衣已被廣泛的用在燒燙傷病患的壓力治療,但許多的燒燙傷病友在不同的療程階段中仍然需要不斷的調整與修改他們的壓力衣,許多的問題是與壓力衣的不合身與修改的處理不當有關。本研究在2007年3月至9月間收集分析了127位購置壓力衣的燒燙傷病患,將壓力衣送回陽光重建中心進行修改共有342件,找出這些壓力衣瑕疵與需要修改的原因。
應用瑕疵分析(Defect Analysis)與品質機能展開(Quality Function Deployment, QFD)的分析方法。瑕疵分析部份先收集壓力衣的修改原因,將需要修改的原因分為適合度不佳(Poor Fit)、不舒服(Discomfort)、零件(Component Part)、布料(Fabric)以及外觀(Cosmetics)幾大類,找出每一種壓力衣款式(頭套、頸圈、上衣、袖套、手套、褲子、腿套、腳套、指套)的關鍵問題。研究結果發現:壓力衣的修改原因主要為身體各部位長度與圍度尺寸不合、眼部、鼻子、耳朵和嘴部開洞位置及尺寸不正確,或拉鍊的的長度、位置不合。從原因分析與品質機能展開分析得到的資訊可以用來減少重複修正壓力衣的次數,因而增進壓力治療的品質與效果。
本研究在品質機能展開部分藉由品質屋的相關圖表來呈現,將品質屋(House of Quality,HoQ)的顧客(病友)心聲(Voice of Customer(Patient),VoC)與處理壓力衣改善作業需求品質展開中之工程聲音(Voice of Engineering,VoE)之矩陣展開,得出壓力衣五個重要品質管理上急需改善的項目,分別是(1)壓力衣太鬆、(2)壓力衣太緊、(3)撕裂、破洞、磨損、(4)體型改變、及(5)開洞位置、大小上的錯誤;另外從關係矩陣中得到五個關鍵作業重點改善的排序,分別是(1) 減布處理、(2)調整配件位置、(3)放寬處理、(4)改短處理、及(5)開洞大小與位置調整處理。又藉由不同領域專家的討論,共同規範出壓力衣七大製程中的管制點、能力指標與品質規格,以供所有壓力衣製作團隊成員的參考資料。
The purpose of this study was to examine altered pressure garments requested by burn patients, in Taiwan. 342 pressure garments needing alterations were collected from 127 burn patients at the Sunshine Foundation Organization, an nonprofit organization for burn patients, between March and September 2007, to identify the major defects found in these pressure garments and their causes.
Both of the defect analysis and Quality Function Deployment were adopted in this study. In the first part of our study, defect analysis causes of required alterations were classified according to a hierarchical coding scheme focusing on poor fit, discomfort, component part, fabric and sewing, and cosmetics to identify systematic problems for each garment type. The result of our analysis indicated that the majority of the pressure garment alterations were related to poor fit in circumferential and longitudinal dimensions of the various body parts, incorrect position and size of openings for eyes, nose, ears, and mouth, or inappropriate length or position of zippers. Information derived from this causal analysis and QFD analysis can be applied in helping to reduce the recurrence of alterations in pressure garment, thus improving the quality and effectiveness of pressure therapy.
Quality Function Deployment (QFD) analysis five critical quality management items “Garment too loose” , “Garment too tight” , “Tear/hole and Wear/friction” , “Change in body size” , and “Incorrect size and position of opening.” The key operation management items “Reduce circumstances” , “Reposition the component” , “Add circumstances” , “Reduce length” , and “Cut (key) hole shape around the perineum” were identified through the relationship matrix analysis. After through discussion with various experts in field standardized operating procedure with specific quality control check points were developed to the pressure garment manufactures to further improve their quality.
參考文獻
中文:
白璐(2001),台灣地區燒燙傷流行病學及燒燙傷登錄系統之評估研究,燙傷專業新知,中華民國燒燙傷基金會。
台灣醫院醫療服務量調查(2005、2006、2007),行政院衛生署。
赤尾洋二(1991),「品質機能展開之實際運用」,中國生產力中心譯。
赤尾洋二(1995),品質機能展開研究小組譯,「品質展開入門」,先鋒企業管理發展中心,台北。
陳思倫.(2008),服務品質管理,前程出版社。
張維昌(2003),「應用品質機能展開與品質工成於產品製程改善之研究」,成功大學工業管理研究所碩士論文。
楊錦洲(1993),「二維品質模式在服務品質上之應用」,品質管制月刊,第五期,27-33頁。
黃豔雲(1994),「品質機能展開應用於成衣設計之研究」,成功大學企業管理研究所碩士論文。
董光義,燙傷專業新知,中華民國燒燙傷基金會,2008。
美國醫療機構評鑑聯合會(Joint Commission on Accreditation of Healthcare Organizations, JCAHO),醫療指標,財團法人醫院評鑑暨醫療品質策進會(2008)。
馬里蘭州醫院協會,台灣醫療品質指標計畫(Taiwan Quality Indicator Project),財團法人醫院評鑑暨醫療品質策進會(2008)。
醫療異常事件分類圖,財團法人醫院評鑑暨醫療品質策進會(2008)。
英文:
Bennett, K. A. and Osborne, R. H. (1986), “Interobserver measurement in anthropometry”, Human Biology, 58(5), 751-759.
Behara, R. S. & Chase, R. B. (1993). “Service quality deployment: quality service by desigh”. In R.V. Sarin (Ed.), Perspectives in operations management: essays in honor of Elwood S. Buffa (pp.87-101). Norwell, MA: Kluwer Academic Publishers.
Bio-Concepts Inc. (2003), “Measuring for custom-made pressure garments”, Bio-Concepts Inc. Phoenix, Arizona.
Brown, C. A. (2001), “A comparison of the outcomes of two clinical audits of burn pressure garment satisfaction and compliance in Saudi Arabia”, Burns, 27, 342-348.
Cheng, S., Chan, A., Fong, S., Lam, M., Leung, A., Lee, P., Tsang, J., Wong, J. and Wu, A. (1996), “Outcome studies for burn patients in Hong Kong: patients’ satisfaction”, Burns, 22(8), 623-626.
Chi, C.-F., Chang, T.-C. and Ting H.-I.(2005), “Accident Patterns and Prevention Measures for Fatal Occupational Falls in the Construction Industry’, Applied Ergonomics. 36, 391-400.
Chi, C.-F., Lin, C.-H., Yang, H.-S.(2008), “The causal analysis of requested alterations for pressure garments”, Journal of Burn Care and Research.(Accepted)
Chi, C.-F., Yang, C.-C. and Chen, Z.-L.(2008), “In-Depth Accident Analysis of Electrical Fatalities in the Construction Industry”, International Journal of Industrial Ergonomics, (In Press).
Chillarege, R., Bhandari, I. S. Chaar, J. K., Halliday, M. J., Moebus, D. S., Ray, B. K., and Wong, M.Y. (1992), “Orthogonal defect classification—A concept for in-process measurements”. IEEE Transactions on Software Engineering, 18 (11), 943-955.
Cohen, L., (1995), “Quality Function Deployment: How to Make QFD Work for You”, Addison-Wesley, Reading, MA.
Gallagher, J. M., Kaplan, S. Maguire, G. H., Leman, C. J., Johnson, P. and Elbaum, L. (1992), “Compliance and durability in pressure garments”, Journal of Burn Care and Rehabilitation, 13, 239-243.
Giele H, Liddiard K, Currie K, Wood F.(1997), “Direct measurement of cutaneous pressures generated by pressure garments”, Burns, 23(2):137–41
Govers, (2001), “QFD not just a tool but a way of quality management”, Int. J. Production Economics, Vol.69, pp. 151-159.
Hudson, P.B. (1980). “The role of fit and fashion in apparel quality”, Bobbin 21(11):108-122.
Hauser J. R. and D.Clausing (1988), “The House of Quality”, Harard Business Review.
Ho et al., (2001), “Skin care in burn patients: a team approach”, Burns, Vol. 27, pp.489-491
Johnson J, Greenspan B, Gorga D, NaglerW, Goodwin C. (1994), “Compliance with pressure garment use in burn rehabilitation”, J Burn Care and rehabilitation, 15(2):180–8.
Kroemer, K. H. E. (1997), “Engineering Anthropometry”, In G. Salvendy (Ed): Handbook of Human Factors and Ergonomics, John Wiley & Sons, New York, N. Y. .
Lai-Kow Chan , Ming-Lu Wu (2002), “Quality function deployment: A literature review”, European Journal of Operational Research 143, 463–497
Macintyre, L and Baird, M.(2005), “Pressure garments for use in the treatment of hypertrophic scars—an evaluation of current construction techniques in NHS hospitals”, Burns, 31, 11-14.
Macintyre, L. and Baird, M. (2006), “Pressure garments for use in the treatment of hypertrophic scars—a review of the problems associated with their use”,Burns, 32, 10-15.
Mays, R. G., Jones, C. L., Holloway, G. J. and Studinski, D. P. (1990), “Experiences with defect prevention”, IBM Systems Journal. 29(1), 4-32.
Mbakaza, Y. and Binase, T. (2000), “Pressure garment adherent in adult patients with burn injuries: An analysis of patient and clinician perceptions”, The American Journal of Occupational Therapy, 54(6), 598-606.
Mariette Strydom and Helena M de Klerk (2006), “The South African clothing industry: problems experienced with body measurements”, ISSN 0378-5254 Tydskrif vir Gesinsekologie en Verbruikerswetenskappe, Vol 34.
Meunier, P. and Yin, S. (2000), “Performance of a 2D image-based anthropometic measurement and clothing sizing system”, Applied Ergonomics, 31, 445-451.
Ng-Yip F. (1994), “Medical clothing-the stress relaxation and shrinkage of pressure garments”, International Journal of Clothing Science and Technology, 64:17-27.
Pankhurst, Pochkhanawala (2002), “Wound care. In: Burn Trauma Management and Nursing Care”, 2nd ed. London: Whurr Publishers.
.
Pratt, J. and West, G. (1995), ”Pressure Garments: A manual on their design and fabrication”, Butterworth-Heinemann Ltd. Oxford.Stewart, R., Bhagwanjee, A. M.,
Pradhan, M., Edmonds., M., Runciman, W. ( 2001 ) Quality in Healthcare: Process. Best Practice & Research Clinical Anaesthesiology. 2001; 15 ( 4 ): 555 - 571
Rivara FP, Grossman DC, Cummings P. (1997), “Injury Prevention”, N Eng J Med, Aug 28;337(9):613-18
R.Scott Ward, PT, (1991), “Compliance with Pressure Garment Use in Burn Rehabilitation”, Journal of Burn Care and Rehabilitation, Vol 12 (6):569-575.
Stewart, R., Bhagwanjee, A. M., Mbakaza, Y. and Binase, T. (2000), “Pressure garment adherent in adult patients with burn injuries: An analysis of patient and clinician perceptions”, The American Journal of Occupational Therapy, 54(6), 598-606.
.
The National Safe Kids Campaign (2004), “Clear Danger: A national syudy of childhood downing and related attitudes and behaviors”, The National Safe Kids Campaign.
Tung et al., (2005), “A seven-year epidemiology study of 12,381 admitted burn patients in Taiwan—using the Internet registration system of the Childhood Burn Foundation”, Burns, 31S S12–S17.
Van Loey et al., (2001), “Do burn patients need burn specific multidisciplinary outpatient aftercare: research results”, Burns, Vol. 27, pp.103– 110.
Williams , Knapp , Wallen (1997), “Comparison of the characteristics and features of pressure garments used in the management of burn scars”, Burns, Vol.24, pp. 329-335.
Williams, F., Knapp, D. and Wallen, M. (1998), “Comparison of the characteristics and features of pressure garments used in the management of burn scars”, Burns, 24, 329-335
You, F., Wang, J. M., Luo, X. N., Li, Y. and Zhang, X. (2002), “Garment’s pressure sensation (1): subjective assessment and predictability for the sensation”, International Journal of Clothing Science and Technology. 14(5), 307-316.
網路:
http://www.cbf.org.tw/client/civil02.htm