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品管圈活动对改善骨科择期手术患者术前准备的应用价值分析(1)
http://www.100md.com 2017年3月1日 《中国医药科学》 2017年第5期
     [摘要] 目的 研究品管圈活动对改善骨科择期手术患者术前准备的应用价值。 方法 选择2015年3月~2016年6月拟在我院择期手术的骨科患者120例为观察对象。根据品管圈管理实施时间分为观察组与对照组。实施前60例患者为照组给予常规护理,实施后患者60例为观察组在对照组基础上应用品管圈组织管理。分别对比两组术前准备完善情况、患者满意度、手术前后焦虑、抑郁以及疼痛情况。 结果 观察组术前准备规范、情况记录频率、相关问题解决程度、询问情况详细程度的完善率均显著高于对照组,差异均有統计学意义(P<0.05)。观察组患者满意度为96.67%(58/60),显著高于对照组的78.33%(47/60),差异有统计学意义(P<0.05)。观察组术后SAS、SDS评分分别为(41.0±3.5)分、(27.6±2.8)分,均显著低于对照组的(46.2±4.7)分、(32.9±3.5)分,差异均有统计学意义(P<0.05)。观察组术后VAS评分为(2.7±1.4)分,显著低于对照组的(3.7±1.3)分,差异有统计学意义(P<0.05)。 结论 品管圈活动可显著改善骨科择期手术患者术前准备完善情况,提高患者满意度,同时缓解其焦虑、抑郁情绪,减轻痛苦。

    [关键词] 骨科手术;术前准备;品管圈活动;满意度

    [中图分类号] R473.6 [文献标识码] A [文章编号] 2095-0616(2017)05-74-04

    [Abstract] Objective To study the application value of quality control circle activity in improving the preoperative preparation of patients undergoing elective surgery in Department of orthopedics. Methods 120 cases of patients undergoing elective surgery in Department of orthopedics from March 2015 to June 2016 were selected as the observation object.According to the implement time of quality control circle,they were divided into observation group and control group.Before the implementation, the 60 patients in control group were given conventional care.After the implementation,the 60 cases in observation group were treated with quality control circle management on the basis of control group.Preoperative preparation,patient satisfaction,anxiety,depression and pain before and after operation of the two groups were compared. Results In the observation group,the preoperative preparation norms,the frequency of the record,the degree of solving the related problems,and the degree of detail of the inquiry were significantly higher than those of the control group,the difference was statistically significant(P<0.05).The satisfaction rate of the observation group was 96.67%(58/60),which was significantly higher than that of the control group with 78.33% (47/60),and the difference was statistically significant(P<0.05).The SAS and SDS scores of the observation group were(41±3.5)and(27.6±2.8),respectively,which were significantly lower than those in the control group(46.2±4.7)and(32.9±3.5),and the difference was statistically significant(P<0.05).The VAS score of the observation group was(2.7±1.4),which was significantly lower than that of the control group(3.7±1.3),and the difference was statistically significant(P<0.05). Conclusion Quality control circle activity can significantly improve the preoperative preparation of patients undergoing selective operation in Department of orthopedics,improve patient satisfaction, ease their anxiety and depression, and relieve pain., http://www.100md.com(黄菊兰?黄东英?贾春媛)
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