品管圈提高陈旧性骨折引流效能的评价

Outcomes of quality control circle to improve the drainage capacity in patients with old fracture

目的:探讨品管圈活动应用于陈旧性骨折患者对引流效能的影响。方法:选取我院2013年6月～2014年12月未实施品管圈活动的陈旧性骨折行内固定手术的患者60例作为对照组,选取我院2015年1月～2016年6月实施品管圈活动的陈旧性骨折行内固定手术的患者60例作为观察组。对比两组住院时间、住院花费、引流效能情况,并对两组术后进行3个月随诊,比较骨痂形成、再次感染发生情况。结果:观察组住院时间为(13.94±5.13) d,短于对照组,住院花费为(4.61±0.27)万元,少于对照组,差异有统计学意义(P<0.05)。观察组引流管有效观察率为100.00%,高于对照组,差异有统计学意义(P<0.05)。观察组骨痂形成率为96.67%,高于对照组,再次感染率为3.33%,低于对照组,差异无统计学意义(P>0.05)。结论:品管圈活动应用于陈旧性骨折患者可有效缩短住院时间,减少住院花费,提高引流效能及护理满意度,值得临床推广。

Objective:To investigate the effect of quality control circle on drainage efficiency in patients with old fracture.Methods:Sixty patients with old fracture treated with internal fixation were included from June 2013 to December 2014 in our hospital in the control group,and another 60 of old fractures treated with internal fixation received quality control circle practice in our hospital were recruited from January 2015 to June 2016 in observational group.The two groups were compared pertinent to the length of hospital stay,hospital expenditure and drainage efficiency as well as formation of bony callus and incidence of re-infection in the follow-up in 3 month following operation.Results:The length of hospital stay was(13.94±5.13)days,and hospital expenditure(4.61±0.27)thousand RMB yuan in the observational group,which was shorter and lower than that of control group.The drainage was functional in 100.00%of the patients in the observational group(all P<0.05).Patients in the observational group had higher rate of bony callus formation(96.67%),yet lower incidence of re-infection(3.33%)than those in the control group(P<0.05 or P>0.05).Conclusion:Quality control circle activity may effectively contribute to reduced hospital stay and medical cost as well as improved drainage capacity and satisfaction with nursing in patients with old fracture,which is worthy of clinical recommendation.