PDCA质量管理联合水胶体敷料对闭合性胫腓骨骨折张力性水疱患者的影响

Effect of PDCA circulating quality management combined with hydrocolloidal dressings on tension blisters in patients with closed tibiofibular fractures

目的:分析PDCA质量管理联合水胶体敷料对闭合性胫腓骨骨折张力性水疱患者的影响。方法:2018年1月-2020年6月收治闭合性胫腓骨骨折张力性水疱患者90例,随机分为两组,各45例。对照组进行水胶体敷料干预;试验组进行PDCA质量管理联合水胶体敷料干预。比较两组干预效果。结果:试验组张力性水泡严重程度低于对照组,差异有统计学意义(P<0.05);试验组术后3d、5d的VAS评分均低于对照组,差异有统计学意义(P<0.05);试验组肿胀消失时间、疼痛消失时间和住院时间均低于对照组,差异有统计学意义(P<0.05)。结论:PDCA质量管理联合水胶体敷料能明显改善闭合性胫腓骨骨折张力性水疱严重程度,提升护理管理质量,减少骨折术后疼痛,促进患者康复。

Objective:To analyze the effect of PDCA circulating quality management combined with hydrocolloidal dressings on tension blisters in patients with closed tibiofibular fractures.Methods:From January 2018 to June 2020,90 cases of tension blisters patients with closed tibiofibular fractures were enrolled,they were randomly divided into two groups with 45 cases in each group.The control group was treated with hydrocolloidal dressing intervention,while the experimental group was treated with PDCA circulating quality management combined with hydrocolloidal dressing intervention.The therapeutic effects between the two groups was compared.Results:The severity of tension blisters of the experimental group was less than that of the control group,the difference was statistically significant(P<0.05).The VAS scores of the experimental group were lower than those of the control group at 3 d and 5 d after operation,the differences were statistically significant(P<0.05).The disappearance time of swelling,pain disappearance and lengths of stay in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:PDCA circulating quality management combined with hydrocolloidal dressing can not only significantly improve the severity of tension blister of closed tibiofibular fractures,improve nursing management quality,but also reduce postoperative pain,and promote the rehabilitation of patients.