标准化质量管理改善宁波市脑瘫患儿的康复状况。
Standardized quality control management improves rehabilitation of children with cerebral palsy in Ningbo City.
作者信息
Zhang Keji, Chen Fangchuan, Xie Hongxiang, Wu Yaling, Zhang Ye
机构信息
Child Rehabilitation Division, Ningbo Rehabilitation Hospital Ningbo, Zhejiang Province, China.
出版信息
Am J Transl Res. 2022 Sep 15;14(9):6814-6822. eCollection 2022.
OBJECTIVE
To investigate the effect of standardized quality control management on the rehabilitation of children with palsy in Ningbo City.
METHODS
In this retrospective study, a total of 400 pediatric patients requiring rehabilitation therapy admitted to from July 2017 to May 2021, were selected as the research subjects. Pediatric patients were divided into an observation group (standardized model) and a control group (routine model) based on the different quality management models. The rehabilitation efficacy, nursing quality, negative emotion, satisfaction, DQ scores, ADL scores, PDI scores, MDI scores, compliance rate, complaint rate of nursing, and incidence of adverse events were compared between the two groups.
RESULTS
The rehabilitation efficacy in the observation group was better than that in the control group (P<0.05). Compared to the control group, the nursing quality score and satisfaction rate were higher, and the negative emotion score was lower in the observation group (all P<0.05). DQ scores, ADL scores, PDI scores, and MDI scores in the observation group were higher than the control group (all P<0.05). The statistical differences were observed in the compliance rate, complaint rate in nursing, and incidence of adverse events between the two groups (all P<0.05).
CONCLUSIONS
The standardized quality control management enhanced the rehabilitation efficacy, promoted the nursing quality, improved the clinical effects, increased the satisfaction rate, and decreased the negative emotions in pediatric patients.
目的
探讨标准化质量管理对宁波市脑瘫患儿康复的影响。
方法
在这项回顾性研究中，选取2017年7月至2021年5月收治的400例需要康复治疗的儿科患者作为研究对象。根据质量管理模式的不同，将儿科患者分为观察组（标准化模式）和对照组（常规模式）。比较两组的康复疗效、护理质量、负面情绪、满意度、发育商（DQ）评分、日常生活活动能力（ADL）评分、运动发育指数（PDI）评分、智力发育指数（MDI）评分、依从率、护理投诉率和不良事件发生率。
结果
观察组的康复疗效优于对照组（P<0.05）。与对照组相比，观察组的护理质量评分和满意率更高，负面情绪评分更低（均P<0.05）。观察组的DQ评分、ADL评分、PDI评分和MDI评分均高于对照组（均P<0.05）。两组在依从率、护理投诉率和不良事件发生率方面存在统计学差异（均P<0.05）。
结论
标准化质量管理提高了脑瘫患儿的康复疗效，提升了护理质量，改善了临床效果，提高了满意率，并减少了负面情绪。
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