护患合作型质量控制小组活动在提高头面颈部烧伤患者功能锻炼依从性中的作用

Effect of a nurse-patient collaborative quality control program on improving rehabilitation compliance in patients with faciocervical burns

为提高头面颈部烧伤患者功能锻炼的依从性,开展护患合作型质量控制小组活动,收集头面颈部烧伤患者不能按计划进行功能锻炼的原因并进行分析,设定目标,制订及实施对策,包括:①加强新护士的培训考核。②加强功能锻炼健康教育。③完善宣教资料及物品。④建立家庭支持系统。⑤制订个性化康复计划。⑥制订健康教育路径。结果显示,实施1年后,头面颈部烧伤患者对功能锻炼的依从性明显优于活动前:对功能锻炼完全依从的患者由活动前的35.5%提高至活动后的60.3%(P<0.05),对功能锻炼部分依从的患者由活动前的45.0%下降至活动后的32.3%(P<0.05),对功能锻炼不依从的患者由活动前的19.5%下降至活动后的7.4%(P<0.05);活动前患者对功能锻炼的满意度为80%,活动后达到预期目标值90%。采用护患合作型质量控制小组活动对开展头面颈部烧伤患者功能锻炼的方法进行持续质量改进,有利于提高患者功能锻炼依从性及患者对功能锻炼的满意度,体现了优质护理服务的内涵。

To improve the compliance to functional exercise protocol in patients with facioeervical burns,a nurse-patient collaborative quality control program was carried out to analyze the problems,set goals,make and implement improvement measures. The key points were strengthening the training and examination of new nurse,reinforcing patients＇ education about functional exercises ,improving the materials of patient education ,establishing family support system ,formulating individualized rehabilitation plan,developing clinical pathways for patient education,and evaluation of the outcomes. One year later,the patient compliance was improved significantly（P〈0.05）. The proportion of patients with complete compliance increased from 35.5% to 60.3%,the proportion of patients with partly compliance decreased from 45.0% to 32.3%,the proportion of patients with poor compliance decreased from 19.5% to 7.4%. The patient satisfaction was 80% ,The goal attainment was 90%. It is suggested that nurse-patient collaborative quality control group program can continuously improve the quality of rehabilitation in patients with faeioeervieal burns,enhance patient compliance and patient satisfaction.