品管圈结合临床护理路径在腰椎退行性变患者中的护理效果  

Nursing effect of quality control circle combined with clinical nursing pathway in patients with lumbar degenerative changes

作　　者：陈亚凤[1] 马影蕊[2] 张亚明[2] 姚姝娱 CHEN Yafeng;MA Yingrui;ZHANG Yaming;YAO Shuyu(Medical Imaging Center, the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 110032, China;.Department of Nursing, the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 110032, China)

机构地区：[1]辽宁中医药大学附属医院医学影像中心,辽宁沈阳110032 [2]辽宁中医药大学附属医院护理部,辽宁沈阳110032

出　　处：《中国医药导报》2018年第34期177-180,共4页China Medical Herald

基　　金：辽宁省科学技术计划项目(20170540615)

摘　　要：目的对腰椎退行性变患者行品管圈结合临床护理路径的护理效果进行评价。方法选择2016年4月～2017年4月辽宁中医药大学附属医院收治的腰椎退行性变患者120例,将应用传统护理的60例患者作为对照组,将在对照组基础上应用品管圈结合临床护理路径的60例患者作为观察组,比较两组疼痛评分、Oswestry功能障碍指数(ODI)评分及满意度。结果观察组下肢、腰部疼痛评分[(1.20±0.06)、(1.12±0.03)分]低于对照组[(3.68±1.50)、(3.52±1.36)分],差异有统计学意义(P <0.05);观察组出院时和出院3个月后ODI评分[(25.18±10.15)、(16.10±10.04)分]低于对照组[(31.22±11.20)、(24.19±10.16)分],差异有统计学意义(P <0.05);观察组护理总满意率(98.33%)高于对照组(83.33%),差异有统计学意义(P <0.05)。结论对腰椎退行性变患者行品管圈结合临床护理路径能够减轻其疼痛,减少患者腰椎功能障碍,并且提高护理满意度。Objective To evaluate the nursing effect of quality control circle combined with clinical nursing pathway in patients with lumbar degenerative changes.Methods From April2016to April2017,in the First Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,120patients with lumbar degenerative changes were selected,the60cases given traditional nursing were as the control group,and the other60cases given quality control circle combined with clinical nursing pathway on the basis of the control group were as the observation group.The nursing effect,Oswestry disability index(ODI)score and satisfaction in the two groups were compared.Results The pain scores of lower limbs and waist in the observation group[(1.20±0.06),(1.12±0.03)points]were lower than those in the control group[(3.68±1.50),(3.52±1.36)points],the differences were statistically significant(P<0.05);the ODI scores in the observation group at discharge and three months after discharge[(25.18±10.15),(16.10±10.04)points]were lower than those in the control group[(31.22±11.20),(24.19±10.16)points],the differences were statistically significant(P<0.05);the total nursing satisfaction rate in the observation group(98.33%)was higher than that in the control group(83.33%),the difference was statistically significant(P<0.05).Conclusion For patients with lumbar degenerative changes,quality control circle combined with clinical nursing pathway can alleviate their pains,reduce their lumbar dysfunction,and improve their nursing satisfaction.

关 键 词：临床护理路径 品管圈 腰椎退行性变 疼痛评分 满意度 

分 类 号：R473.6[医药卫生—护理学]