护理质量控制持续改进对膝关节置换术患者肢体功能恢复的影响

INFLUENCE OF NURSING CQI ON REHABILITATION OF PATIENTS WITH KNEE ARTHROPLASTY

目的探究护理质量控制持续改进对膝关节置换术患者肢体功能恢复的影响。方法选取2014年1—12月在该院骨科成功实行单膝关节置换术的100例膝关节骨性关节炎患者,随机分为二组,每组50例。对照组行常规护理,观察组实施护理质量控制持续改进。采用HSS膝关节评分对患者行术前、术后1周、1个月、3个月、6个月的功能评定。对二组患者满意度及住院时间进行比较。结果对照组和观察组在术前HSS评分差异无统计学意义(P>0.05),而观察组在术后各时间点HSS评分均明显高于对照组(P<0.05)。观察组患者住院期间平均满意度明显高于对照组(P>0.05),观察组患者平均住院天数明显少于对照组(P>0.05)。结论针对膝关节骨性关节炎行单膝关节置换术的患者,实施护理质量控制持续改进可显著改善其术后膝关节功能恢复情况。

Objective To explore the influence of CQI of nursing on rehabilitation of patients with knee arthroplasty.Methods Totally 100 cases of patients with knee arthroplasty who has knee osteoarthritis of the orthopedics in author＇s hospital from January 2014 to December 2014 were selected to divide into two groups after hemodialysis treatment,each group of 50 patients.The control group was conducted with conventional perioperative nursing,while the intervention group was conducted with CQI of nursing.Knee joint HSS score of two group preoperative,1 week after operation,1,3,6 month after operation were compared.Satisfaction of patients for both groups and were compared,as well as the length of stay.ResultsThe HSS score of intervention group was obviously much higher than the score of control group at different postoperative time points（P〈0.05）,but there were no statistical difference at preoperative time（P〉0.05）.The average satisfaction of patients of intervention group was obviously higher（P〈0.05）,the average length of stay of intervention group was also obviously shorter（P〈0.05）.Conclusion To carry out CQI of nursing can effectively improve knee joint function of patients with knee osteoarthritis who has knee arthroplasty.