品管圈对骨科创伤手术护理工作的影响
Effect of quality control circle on nursing in orthopaedic trauma surgery.
作者信息
Yu Jinjiao, Qi Ruijuan, Wang Wenjuan, Jiang Ge, Liu Yan, Zhang Weiwei
机构信息
Department of Orthopedics, Chun'an Hospital of Traditional Chinese Medicine Hangzhou 311700, Zhejiang, China.
Quality Control Office, The Eighth People's Hospital of Hengshui Hengshui 253800, Hebei, China.
出版信息
Am J Transl Res. 2022 Jun 15;14(6):4380-4387. eCollection 2022.
OBJECTIVE
To explore the application effect of Quality Management Circle (QCC) in nursing of orthopaedic trauma surgery.
METHODS
The clinical data of 134 cases undergoing orthopaedic trauma surgery were assigned into 2 groups according to different nursing methods. Thereinto, 67 cases with traditional nursing were considered as the control group (CG), and the left with traditional nursing and QCC activities were assigned as the study group (SG). The pain (VAS) score and psychological fluctuation index were observed and compared at various time points after operation. The recorded indexes included anxiety (SAS) and depression (SDS) scores before and after intervention, limb joint activity, health knowledge awareness rate, satisfaction rate, quantitative score of quality of life and nosocomial infection rate.
RESULTS
After intervention, the VAS scores in the SG were lower than those in the CG 2 weeks after intervention (all P<0.05). The quantitative scores of SDS and SAS in the SG after intervention were lower than those in the CG (all P<0.05). After that, the range of motion of lower limb joints in the SG was higher than that in the CG (all P<0.05). The awareness rate of health knowledge in the SG was higher than that in the CG (all P<0.05). The satisfaction rate of the SG was higher than that of the CG (P<0.05). The score level of each index of quality of life in the SG was higher than that in the CG (all P<0.05). There was no marked difference in nosocomial infection rate (P>0.05).
CONCLUSION
The application of QCC on patients undergoing orthopaedic trauma surgery can not only reduce patients' pain, negative emotions, but also improve limb joint activity, health knowledge awareness rate, satisfaction rate and quality of life.
目的
探讨质量管理圈（QCC）在骨科创伤手术护理中的应用效果。
方法
将134例骨科创伤手术患者的临床资料按不同护理方法分为2组。其中，67例行传统护理的患者作为对照组（CG），其余行传统护理并开展QCC活动的患者作为研究组（SG）。观察并比较术后各时间点的疼痛（VAS）评分及心理波动指数。记录的指标包括干预前后的焦虑（SAS）和抑郁（SDS）评分、肢体关节活动度、健康知识知晓率、满意率、生活质量量化评分及医院感染率。
结果
干预后，研究组干预2周后的VAS评分低于对照组（均P<0.05）。研究组干预后的SDS和SAS量化评分低于对照组（均P<0.05）。此后，研究组下肢关节活动度高于对照组（均P<0.05）。研究组的健康知识知晓率高于对照组（均P<0.05）。研究组的满意率高于对照组（P<0.05）。研究组生活质量各指标的评分水平高于对照组（均P<0.05）。医院感染率差异无统计学意义（P>0.05）。
结论
QCC应用于骨科创伤手术患者，不仅能减轻患者疼痛、负面情绪，还能提高肢体关节活动度、健康知识知晓率、满意率及生活质量。
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