提高PPH术后患者耳穴贴压联合凯格尔运动依从性的品管圈实践
|
摘要
目的探讨品管圈活动在提高痔上黏膜环形切除钉合术(PPH)后患者耳穴贴压联合凯格尔运动依从性中的应用效果。方法 2018年5月成立品管圈小组,按照品管圈步骤及方法,运用质量管理工具,分析影响PPH术后患者施行耳穴贴压联合凯格尔运动的因素,针对影响因素进行整改。结果 PPH术后患者耳穴贴压联合凯格尔运动实施依从性由品管圈实施前的24.00%(12/50)上升到实施后的94.00%(47/50)。品管圈实施后,圈员活动信心、品管圈手法运用能力、团队精神、责任荣誉、沟通协调、专业知识均得到提高。结论开展品管圈活动能有效提高PPH术后患者耳穴贴压联合凯格尔运动的实施依从性,提高护理质量,促进患者早日康复。
Objective To investigate the effect of using quality control circle(QCC) to improve the compliance with auricular points sticking-pressing and Kegel exercises in patients after procedure for prolapse and hemorrhoids(PPH). Methods The QCC management tools were used to analyze the influential factors of compliance with auricular points sticking-pressing and Kegel exercises, and corresponding measures were carried. Results The compliance rates was increased 24.00%(12/50) before implementation of QCC activities to 94.00%(47/50) after After implementation of QCC activities. Members of QCC groups had enhanced their own confidence, QCC management ability, teamwork spirit, sense of honor, communication skills and professional knowledge level. Conclusion The QCC is an effective management tool to improve the compliance with auricular points sticking-pressing and Kegel exercises in patients after PPH.
Objective To investigate the effect of using quality control circle(QCC) to improve the compliance with auricular points sticking-pressing and Kegel exercises in patients after procedure for prolapse and hemorrhoids(PPH). Methods The QCC management tools were used to analyze the influential factors of compliance with auricular points sticking-pressing and Kegel exercises, and corresponding measures were carried. Results The compliance rates was increased 24.00%(12/50) before implementation of QCC activities to 94.00%(47/50) after After implementation of QCC activities. Members of QCC groups had enhanced their own confidence, QCC management ability, teamwork spirit, sense of honor, communication skills and professional knowledge level. Conclusion The QCC is an effective management tool to improve the compliance with auricular points sticking-pressing and Kegel exercises in patients after PPH.
引文
[1] JIANG Q L,ZHANG D,MAJAW J,et al.Minimization of the perianal infection rate of hematological malignancies with agranulocytosis by quality control circle activity and patient-hospital-student win-win concept[J].J Int Med Res,2018,46(6):2338-2345.
[2] 吴彬.耳穴低频电刺激合磁珠贴压干预痔术后疼痛临床研究[J].河北中医药学报,2010,25(4):34-35.
[3] 项电巅,王绍臣.盆底生物反馈治疗PPH术后盆底失迟缓的临床观察[J].中国医师杂志,2013,15(9):1255-1258.
[4] LV N,KONG Y N,MU L W,et al.Effect of perioperative parecoxib sodium on postoperative pain control for transcatheter arterial chemoembolization for inoperable hepatocellular carcinoma:a prospective randomized trial[J].Eur Radiol,2016,26(10):3492-3499.
[5] YANG S D,NING S H,ZHANG L H,et al.The effect of lower limb rehabilitation gymnastics on postoperative rehabilitation in elderly patients with femoral shaft fracture[J].Medicine,2016,95(33):e4548.
[6] AIKEN L H,SLOANE D,GRIFFITHS P,et al.Nursing skill mix in European hospitals:cross-sectional study of the association with mortality,patient ratings,and quality of care[J].BMJ Qual Saf,2017,26(7):559-568.
[7] ZHANG Y,LIU H L,WANG L,et al.Relationship between functional connectivity and motor function assessment in stroke patients with hemiplegia:a resting-state functional MRI study[J].Neuroradiology,2016,58(5):503-511.
[8] 古丽热依汗·阿布力孜,齐晓燕,徐少娜.品管圈活动对减轻PPH术后患者疼痛程度的临床应用[J].医学临床研究,2018,35(5):952-955.
[9] 黎一霖,杨萌,周晏合,等.品管圈对降低PPH术后患者首次排便困难发生率的探讨[J].右江医学,2015,43(5):645-646.
[10] BESCH G,PERROTTI A,MAUNY F,et al.Clinical effectiveness of intravenous exenatide infusion in perioperative glycemic control after coronary artery bypass graft surgery[J].Anesthesiology,2017,127(5):775-787.
[11] 林瑞娇,余美红,王娟,等.品管圈在提高胃肠道术后患者功能锻炼依从性中的应用[J].解放军护理杂志,2015,32(5):52-54.
[12] 张琳晗,代林林,冯立明,等.开展品管圈活动对精神科实施优质护理服务的推动作用[J].中华全科医学,2016,14(9):1578-1581.
[2] 吴彬.耳穴低频电刺激合磁珠贴压干预痔术后疼痛临床研究[J].河北中医药学报,2010,25(4):34-35.
[3] 项电巅,王绍臣.盆底生物反馈治疗PPH术后盆底失迟缓的临床观察[J].中国医师杂志,2013,15(9):1255-1258.
[4] LV N,KONG Y N,MU L W,et al.Effect of perioperative parecoxib sodium on postoperative pain control for transcatheter arterial chemoembolization for inoperable hepatocellular carcinoma:a prospective randomized trial[J].Eur Radiol,2016,26(10):3492-3499.
[5] YANG S D,NING S H,ZHANG L H,et al.The effect of lower limb rehabilitation gymnastics on postoperative rehabilitation in elderly patients with femoral shaft fracture[J].Medicine,2016,95(33):e4548.
[6] AIKEN L H,SLOANE D,GRIFFITHS P,et al.Nursing skill mix in European hospitals:cross-sectional study of the association with mortality,patient ratings,and quality of care[J].BMJ Qual Saf,2017,26(7):559-568.
[7] ZHANG Y,LIU H L,WANG L,et al.Relationship between functional connectivity and motor function assessment in stroke patients with hemiplegia:a resting-state functional MRI study[J].Neuroradiology,2016,58(5):503-511.
[8] 古丽热依汗·阿布力孜,齐晓燕,徐少娜.品管圈活动对减轻PPH术后患者疼痛程度的临床应用[J].医学临床研究,2018,35(5):952-955.
[9] 黎一霖,杨萌,周晏合,等.品管圈对降低PPH术后患者首次排便困难发生率的探讨[J].右江医学,2015,43(5):645-646.
[10] BESCH G,PERROTTI A,MAUNY F,et al.Clinical effectiveness of intravenous exenatide infusion in perioperative glycemic control after coronary artery bypass graft surgery[J].Anesthesiology,2017,127(5):775-787.
[11] 林瑞娇,余美红,王娟,等.品管圈在提高胃肠道术后患者功能锻炼依从性中的应用[J].解放军护理杂志,2015,32(5):52-54.
[12] 张琳晗,代林林,冯立明,等.开展品管圈活动对精神科实施优质护理服务的推动作用[J].中华全科医学,2016,14(9):1578-1581.