质控管理小组对髋膝关节置换术患者的围术期指标及安全性的影响

Effect of quality control management team on perioperative indexes and safety of patients undergoing hip and knee replacement

目的探讨质控管理小组对髋膝关节置换术患者的围术期指标及安全性的影响。方法选择2022年1月至2023年1月河南省直第三人民医院收治的160例接受髋膝关节置换术的患者作为研究对象,按随机数表法将患者分为观察组和对照组,每组80例。对照组患者围术期采用常规护理,观察组患者采用质控管理小组进行护理,两组患者均持续护理至出院。比较两组患者的围术期指标、术后不同时间点视觉模拟评分(VAS),并比较患者术前及术后4周的髋关节功能评分量表(Harris)和HSS膝关节评分,同时比较两组患者术后并发症发生率及患者对护理的满意度。结果观察组患者的首次下床活动时间、住院时间分别为(6.83±1.17)h、(9.89±1.76)d,明显短于对照组的(7.98±1.35)h、(12.65±1.49)d,差异均有统计学意义(P<0.05);观察组患者术后12 h、24 h、48 h、72 h的VAS评分分别为(5.82±1.19)分、(5.36±1.33)分、(4.65±1.03)分、(3.78±0.65)分,明显低于对照组的(6.25±1.03)分、(5.97±1.55)分、(5.26±1.21)分、(4.50±0.47)分,差异均有统计学意义(P<0.05);术前,两组患者的Harris和HSS评分比较差异均无统计学意义(P>0.05),术后4周,观察组患者的Harris、HSS评分分别为(58.40±4.28)分、(57.21±5.29)分,明显高于对照组的(53.23±4.60)分、(51.85±4.73)分,差异均有统计学意义(P<0.05);观察组患者的并发症总发生率为5.00%,明显低于对照组的16.25%,差异有统计学意义(P<0.05);观察组患者对护理的总满意度为93.75%,明显高于对照组的80.00%,差异有统计学意义(P<0.05)。结论质控管理小组有助于促进髋膝关节置换术患者围术期恢复,降低术后并发症发生率,提高患者对护理的满意度,值得推广应用。

Objective To study the effect of quality control management team on perioperative indexes and safety of patients undergoing hip and knee replacement.Methods A total of 160 patients who received hip and knee redoiplacement in the Third People's Hospital of Henan Province from January 2022 to January 2023 were selected and divided into an observation group and a control group according to the random number table method,with 80 patients in each group.Patients in the control group received routine nursing during perioperative period,and those in the observation group received nursing care through a quality control management team.The two groups of patients continued to receive care until discharge.The perioperative indexes,Visual Analogue Scale(VAS)at different time points after surgery were compared between the two groups,as well as hip function scale(Harris)and HSS knee joint score before and 4 weeks after surgery,the incidence of postoperative complications,and patients'satisfaction with care.Results The first time of getting out of bed and the length of hospital stay in the observation group were(6.83±1.17)h and(9.89±1.76)d,which were significantly shorter than(7.98±1.35)h and(12.65±1.49)d in the control group(P<0.05).The VAS scores at 12 h,24 h,48 h,and 72 h after surgery in the observation group were(5.82±1.19)points,(5.36±1.33)points,(4.65±1.03)points,and(3.78±0.65)points,which were significantly lower than(6.25±1.03)points,(5.97±1.55)points,(5.26±1.21)points,and(4.50±0.47)points in the control group(P<0.05).Before operation,there was no statistically significant differneces in Harris and HSS scores between the two groups(P>0.05);the Harris score and HSS score at 4 weeks after surgery in the observation group were(58.40±4.28)points and(57.21±5.29)points,which were significantly higher than(53.23±4.60)points and(51.85±4.73)points in the control group(P<0.05).The incidence of complications in the observation group was 5.00%,which was significantly lower than 16.25%in the control group(P<0.05).The total satisfaction rate of patients in the observation group was 93.75%,which was significantly higher than 80.00%in the control group(P<0.05).Conclusion The quality control management team is helpful to promote perioperative recovery of patients undergoing hip and knee replacement,which can reduce the incidence of postoperative complications and improve patients'satisfaction with nursing care,and is worth popularizing and applying.