品管圈降低骨折卧床患者便秘发生率的干预作用分析

Intervention of Quality Control Loop in Reducing the Incidence of Constipation in Bedridden Patients with Fractures

目的分析课题达成型品管圈活动对骨折卧床所致便秘发生的影响。方法研究时间段为2018年1月—2019年4月,其中2018年1—8月,未开展品管圈,2018年9月—2019年4月,开展课题达成型品管圈活动,便利选取南通市中医院骨科卧床患者84例,每组42例。对照组给予一般护理,观察组开展课题达成型品管圈活动。比较两组满意度;护理前后骨折部位疼痛评分、焦虑自评SAS评分、抑郁自评SDS评分;便秘发生率。结果观察组的满意度100.00%高于对照组(χ^2=5.841,P<0.05)。护理前两组骨折部位疼痛评分、焦虑自评SAS评分、抑郁自评SDS评分接近(P>0.05);护理后观察组骨折部位疼痛评分、焦虑自评SAS评分、抑郁自评SDS评分优于对照组(P<0.05);观察组便秘发生率38.09%更少(χ^2=6.742,P<0.05)。结论骨折卧床患者实施课题达成型品管圈活动效果确切,可有效改善患者的心理状态,缩短住院时间,减少便秘的发生,提高满意度。

Objective To analyze the impact of the achievement of quality control circle activities on the occurrence of constipation caused by bed fractures.Methods From January 2018 to April 2019,of which January to August 2018,no quality control circle was carried out.From September 2018 to April 2019,a project achievement type quality control circle activity was carried out.Orthopedics of Nantong Traditional Chinese Medicine Hospital was convenienty selected.There were 84 bedridden patients,42 cases in each group.The control group was given general care,and the observation group carried out the task-based quality control circle activities.Satisfaction scores were compared between the two groups;fracture site pain scores,anxiety self-assessment SAS score,and depression self-assessment SDS score before and after nursing;incidence of constipation.Results The satisfaction of the observation group was 100.00%higher than that of the control group(χ^2=5.841,P<0.05).Fracture site pain scores,anxiety self-assessment SAS scores,and depression self-assessment SDS scores were similar in the two groups before nursing,P>0.05;post-care observation group fracture site pain scores,anxiety self-assessment SAS scores,and depression self-assessment SDS scores were better than those in the control group(P<0.05);the incidence of constipation in the observation group was 38.09%less(χ^2=6.742,P<0.05).Conclusion The implementation of the project to achieve the quality control circle in patients with fractured bed is effective in improving the psychological state of patients,shortening the length of hospital stay,reducing the occurrence of constipation,and increasing satisfaction.