品管圈对骨折患者下肢深静脉血栓形成及便秘的影响

摘要

目的 探讨品管圈对骨折患者下肢深静脉血栓(DVT)形成及便秘的影响.方法 选取2016年1月至2017年1月本院收治的骨折患者61例为对照组,选取2017年1月至2018年2月本院收治的骨折患者62例为观察组.对照组给予常规术后护理,观察组给予品管圈活动管理.对所有患者进行护理质量评价,计算DVT发生率及护理质量合格率,并进行组间比较.比较两组便秘发生情况.对本次品管圈护理人员实施前后各项素质进行测评.结果 观察组DVT发生率、便秘发生率显著低于对照组[3.23％(2/62)比40.98％ (25/61)、30.65％ (19/62)比88.52％(54/61)],且护理质量合格率显著高于对照组[91.94％(57/62)比70.49％(43/61)](均P＜0.05).经品管圈活动后,观察组护理人员品管圈熟练度(9.27±1.59)分、解决问题能力(7.82±1.63)分、团队精神(8.56±1.53)分、责任心(9.15±1.37)分、积极性(8.87±1.27)分,均显著高于对照组护理人员[(7.16±1.74)分、(6.44±1.37)分、(7.17±1.34)分、(7.30±1.31)分、(7.43±1.12)分](均P＜0.05).结论 针对骨折患者采用品管圈活动,可有效减少患者DVT、便秘发生率,具有一定的临床应用价值.%Objective To explore the effect of quality control circle on deep venous thrombosis (DVT) and constipation in patients with fracture.Methods 61 patients with fracture admitted to our hospital from January,2016 to January,2017 were selected as a control group.And 62 patients with fracture admitted to our hospital from January,2017 to February,2018 were selected as an observation group.The control group was given routine postoperative nursing care.The observation group was given quality control circle activity management.All the patients were surveyed by DVT preventive nursing questionnaire made by our hospital.The nursing quality was evaluated.The incidence of DVT and the qualified rate of nursing quality were calculated and compared between these two groups.The incidences of constipation were compared between the two groups.The quality of nurses in the quality control circle before and after the implementation was assessed and compared by the self-made score sheet.Results The incidences of DVT and constipation were significantly lower and the qualified rate of nursing quality was significantly higher in the observation group than in the control group [3.23％ (2/62) vs.40.98％ (25/61),30.65％ (19/62) vs.88.52％ (54/61),and 91.94％ (57/62) vs.70.49％ (43/61),all P ＜ 0.05].The scores of proficiency,problem-solving ability,teamwork spirit,sense of responsibility,and enthusiasm were significantly higher in the observation group than in the control group [(9.27±1.59) vs.(7.16±1.74),(7.82±1.63) vs.(6.44±1.37),(8.56±1.53) vs.(7.17±1.34),(9.15±1.37) vs.(7.30±1.31),and (8.87±1.27) vs.(7.43±1.12),all P ＜ 0.05].Conclusion Quality control circle for fracture patients can effectively reduce the incidences of DVT and constipation,and has a certain clinical value.