品管圈管理模式对鼻内镜术后患者复诊依从性及复发率的影响
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摘要
目的分析品管圈管理模式对鼻内镜术后患者复诊依从性及复发率的影响。方法将我院2017年2月至2018年2月收治的122例鼻内镜手术患者采用数字表随机法分为观察组和对照组,各61例。对照组患者采用常规护理,观察组患者在对照组基础上应用品管圈管理模式。比较两组患者的干预效果。结果干预后,两组患者的清洗鼻腔、局部用药、换药配合、疾病基本知识及疼痛应对评分均显著升高,且观察组均明显高于对照组(P<0.05)。出院2周、1、2、3、6个月,观察组患者的复诊依从性均明显高于对照组(P<0.05)。出院2周、1个月,两组患者的复发率无显著差异(P>0.05);出院2、3、6个月,观察组患者的复发率均明显低于对照组(P<0.05)。结论品管圈管理模式在鼻内镜术后患者中的应用效果显著,其在保证护理质量的同时,还可加强患者对疾病知识的了解,提高患者复诊依从性,并降低术后复发率,值得临床推广应用。
Objective To analyze the effect of quality control circle management mode on re-visit compliance and recurrence rate of patients after nasal endoscopy surgery. Methods A total of 122 patients undergoing nasal endoscopy surgery in our hospital from February 2017 to February 2018 were divided into observation group and control group by random number table method, with 61 cases in each group. The control group was given routine nursing, while the observation group was given quality control circle management mode on the basis of the control group. The intervention effects of the two groups were compared. Results After intervention, the scores of nasal cavity cleaning, local medication,dressing change coordination, basic knowledge of disease and pain coping of the two groups significantly increased, and those in the observation group were significantly higher than the control group(P<0.05). At 2 weeks, 1, 2, 3 and 6 months after discharge, the re-visit compliance in the observation group were significantly higher than those in the control group(P<0.05). At 2 weeks and 1 month after discharge, there were no significant differences in the recurrence rates between the two groups(P>0.05); at 2, 3 and 6 months after discharge, the recurrence rates of the observation group were significantly lower than those of the control group(P<0.05). Conclusion Quality control circle management mode has a remarkable effect in the application of patients after nasal endoscopy surgery, which can not only guarantee the quality of nursing, but also strengthen patients' understanding of disease knowledge, improve re-visit compliance of patients, and reduce the postoperative recurrence rate. It is worthy of clinical promotion and application.
Objective To analyze the effect of quality control circle management mode on re-visit compliance and recurrence rate of patients after nasal endoscopy surgery. Methods A total of 122 patients undergoing nasal endoscopy surgery in our hospital from February 2017 to February 2018 were divided into observation group and control group by random number table method, with 61 cases in each group. The control group was given routine nursing, while the observation group was given quality control circle management mode on the basis of the control group. The intervention effects of the two groups were compared. Results After intervention, the scores of nasal cavity cleaning, local medication,dressing change coordination, basic knowledge of disease and pain coping of the two groups significantly increased, and those in the observation group were significantly higher than the control group(P<0.05). At 2 weeks, 1, 2, 3 and 6 months after discharge, the re-visit compliance in the observation group were significantly higher than those in the control group(P<0.05). At 2 weeks and 1 month after discharge, there were no significant differences in the recurrence rates between the two groups(P>0.05); at 2, 3 and 6 months after discharge, the recurrence rates of the observation group were significantly lower than those of the control group(P<0.05). Conclusion Quality control circle management mode has a remarkable effect in the application of patients after nasal endoscopy surgery, which can not only guarantee the quality of nursing, but also strengthen patients' understanding of disease knowledge, improve re-visit compliance of patients, and reduce the postoperative recurrence rate. It is worthy of clinical promotion and application.
引文
[1]李育玲,刘桂芬,李丽红,等.应用品管圈提高鼻内镜术后病人复诊依从性的效果评价[J].护理研究,2016,30(12):1489-1491.
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[10]黎金梅,吴雪坚.实施复诊综合管理对鼻内镜鼻窦手术患者术后远期治疗效果的观察[J].齐齐哈尔医学院学报,2016,37(12):1576-1578.
[11]底瑞青,赵玉林,李星丹,等.智能手机应用程序在鼻内镜术后患者健康教育中的应用[J].中华护理杂志,2016,51(11):1364-1366.
[12]任文华,魏建丽,梁丽平,等.延续护理对鼻内镜手术患者康复质量的影响[J].当代医学,2017,23(16):184-186.
[13]王国利,沈毅,杨驱云,等.慢性鼻-鼻窦炎成人患者鼻内镜术后随访依从性调查[J].中国乡村医药,2017,24(15):60-61.
[14]丁小美,张智霖,胡水花.基于微信平台延续护理模式在鼻内镜鼻窦开放术后病人中的应用[J].全科护理,2017,15(17):2163-2164.
[2]黄洪花.品管圈在提高鼻内镜手术患者健康宣教知晓率的应用[J].齐齐哈尔医学院学报,2015,36(26):4035-4037.
[3]陈纯柳,许倩茹,徐彬妮.应用品管圈提高鼻内镜鼻窦开放术后规范化电话随访执行率的效果评价[J].护士进修杂志,2017,32(9):805-807.
[4]熊松.鼻窦手术后鼻腔冲洗依从性低的原因分析[J].中国保健营养,2017,27(20):41.
[5]贾玉梅,张中华.临床护理路径在慢性鼻窦炎鼻内镜手术中的应用观察[J].中国医学文摘:耳鼻咽喉科学,2016,31(3):140-143.
[6]周晶,任霞斌,阎萍,等.以社区为中心的1 213例鼻内镜术后随访观察[J].中国眼耳鼻喉科杂志,2018,18(4):258-261.
[7]万永红,陈秀琍,汪君.护理干预对鼻内镜鼻窦手术后患者治疗依从性的影响[J].中国当代医药,2017,24(21):162-164.
[8]颜少观.综合性护理对慢性鼻窦炎鼻内镜术后治疗依从性的影响[J].中国卫生标准管理,2017,8(16):182-184.
[9]李帆,方利,张照莉,等.延伸护理在鼻内镜术后患者复诊依从性中的应用[J].护士进修杂志,2015,30(7):629-630.
[10]黎金梅,吴雪坚.实施复诊综合管理对鼻内镜鼻窦手术患者术后远期治疗效果的观察[J].齐齐哈尔医学院学报,2016,37(12):1576-1578.
[11]底瑞青,赵玉林,李星丹,等.智能手机应用程序在鼻内镜术后患者健康教育中的应用[J].中华护理杂志,2016,51(11):1364-1366.
[12]任文华,魏建丽,梁丽平,等.延续护理对鼻内镜手术患者康复质量的影响[J].当代医学,2017,23(16):184-186.
[13]王国利,沈毅,杨驱云,等.慢性鼻-鼻窦炎成人患者鼻内镜术后随访依从性调查[J].中国乡村医药,2017,24(15):60-61.
[14]丁小美,张智霖,胡水花.基于微信平台延续护理模式在鼻内镜鼻窦开放术后病人中的应用[J].全科护理,2017,15(17):2163-2164.