品管圈管理对重度脊柱畸形头盆环牵引患者睡眠质量及疼痛的影响  

Effect of quality control circle management on sleep quality and pain in patients with severe spinal deformity head pelvic ring traction

作　　者：周国飞 张凤梅 ZHOU Guofei;ZHANG Fengmei(Department of Spine Orthopedics,Hangzhou Xiaoshan District Hospital of Traditional Chinese Medicine,Zhejiang Province,Hangzhou 311200,China)

机构地区：[1]杭州市萧山区中医院脊柱矫形科,浙江杭州311200

出　　处：《中国当代医药》2025年第11期156-160,共5页China Modern Medicine

基　　金：浙江省杭州市农业与社会发展科研引导项目(20220919Y083);浙江省杭州市生物医药健康产业发展扶持科技专项项目(2023WJC241)。

摘　　要：目的探讨品管圈活动在提高重度脊柱畸形患者头盆环牵引周期内睡眠质量和疼痛的应用价值。方法选取2023年3月至9月杭州市萧山区中医院收治的80例重度脊柱畸形患者作为研究对象,采用随机抽签法将其分为对照组(40例)和观察组(40例)。两组患者均采用头盆环牵引进行治疗,对照组患者采用骨科常规护理方式,观察组患者采用品管圈管理方式。比较两组患者头盆环牵引术后1、3周及牵引结束时患者的匹兹堡睡眠质量指数(PSQI)及视觉模拟评分法(VAS)评分,比较两组患者头盆环牵引周期内的牵引时长以及患者满意度。结果重复测量方差分析结果显示,两组患者的睡眠质量评分(入睡时间、主观睡眠质量、睡眠效率、睡眠时间)、VAS评分的时间、组间、交互作用比较,差异有统计学意义(P<0.05);观察组患者牵引后1、3周,牵引结束时的睡眠质量评分(入睡时间、主观睡眠质量、睡眠效率、睡眠时间)、VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组患者在牵引后1、3周,牵引结束时的睡眠质量良好率均高于对照组,差异有统计学意义(P<0.05)。结论品管圈活动在头盆环牵引周期内有效提升患者的睡眠质量,缓解患者的疼痛,缩短头盆环牵引时长,提高患者满意度。Objective To explore the application value of quality control circle activities in improving sleep quality and pain in patients with severe spinal deformity during the head pelvic ring traction cycle.Methods A total of 80 patients with severe spinal deformity admitted to Hangzhou Xiaoshan District Hospital of Traditional Chinese Medicine from March to September 2023 were selected as the research objects,and they were divided into control group(40 cases)and observation group(40 cases)by random lottery method.Both groups were treated with head pelvic ring traction.The patients in the control group were treated with routine orthopedic nursing,and the patients in the observation group were treated with quality control circle management.The Pittsburgh sleep quality index(PSQI)and visual analogue scale(VAS)scores were compared between the two groups at 1,3 weeks and at the end of traction.The traction duration and patient satisfaction during the head pelvic ring traction cycle were compared between the two groups.Results Repeated measurement ANOVA results showed that there were statistically significant differences in sleep quality scores(sleep time,subjective sleep quality,sleep efficiency,sleep time),VAS score,inter-group and interaction between the two groups(P<0.05).Sleep quality scores(sleep time,subjective sleep quality,sleep efficiency,sleep time)and VAS scores of observation group were lower than those of control group 1,3 weeks after traction and at the end of traction,with statistical significances(P<0.05).The rates of good sleep quality in observation group were higher than those in control group 1,3 weeks after traction and at the end of traction,the differences were statistically significant(P<0.05).Conclusion The quality control circle activity can effectively improve the patients'sleep quality,relieve the patients'pain,shorten the time of head pelvic ring traction and improve the patients'satisfaction during the head and pelvic ring traction cycle.

关 键 词：品管圈 重度脊柱畸形 头盆环牵引 睡眠质量 疼痛 

分 类 号：R682[医药卫生—骨科学]