品管圈活动对口腔癌皮瓣移植术后患者舒适度及生活质量的影响  

Impact of Quality Control Circle Activities on the Comfort and Quality of Life of Patients After Oral Cancer Flap Surgery

作　　者：周晓娟 刘静[1] 蔡冰星 汪智多 Zhou Xiaojuan;Liu Jing;Cai Bingxing(The Second Affiliated Hospital of Chongqing Medical University,Chongqing,400010,China)

机构地区：[1]重庆医科大学附属第二医院,重庆400010

出　　处：《黑龙江医学》2025年第8期1001-1003,共3页Heilongjiang Medical Journal

摘　　要：目的:旨在评估品管圈活动对口腔癌皮瓣移植术后患者舒适度及生活质量的影响,以探讨该方法在术后护理中的有效性和可行性。方法:选取2022年1月—2023年12月在重庆医科大学附属第二医院收治的104例口腔癌皮瓣移植术的患者作为研究对象,按照是否接受品管圈活动分为研究组(n=52)和对照组(n=52)。通过使用标准化的患者舒适度、生活质量问卷、自我效能评分,于干预前后进行评估。记录患者经口进食时间、住院时间、口腔清洁度及口腔致病菌,并统计临床护理满意度。结果:干预后,研究组患者GCQ评分高于对照组,经口进食时间、住院时间低于对照组,差异均有统计学意义(t=4.736、4.861、5.304,P<0.05);研究组患者口腔清洁度优于对照组,口腔致病菌少于对照组,差异均有统计学意义(t/χ^(2)=8.168、9.102,P<0.05);研究组患者SF-36、GSES评分高于对照组,差异均有统计学意义(t=3.649、4.319,P<0.05);研究组患者护理满意度高于对照组,差异有统计学意义(χ^(2)=4.887,P<0.05)。结论:品管圈活动显著提高了口腔癌皮瓣移植术后患者的舒适度和生活质量。该活动作为一种有效的术后管理策略,有助于提升患者的心理和生理恢复。Objective:To assess the impact of quality control circle activities on the comfort and quality of life of patients after oral cancer flap surgery,explore the effectiveness and feasibility of this method in postoperative care.Methods:This prospective cohort study was conducted from January 2022 to December 2023 in the hospital,involving 104 patients who had undergone oral cancer flap surgery.Participants were divided into two groups based on whether they participated in quality control circle activities,with 52 in the study group and 52 in the control group.Standardized assessments of patient comfort,quality of life and self-efficacy scores were conducted before and after the intervention.The study also recorded the time to oral intake,hospital stay,oral cleanliness and oral pathogen levels;and calculated the satisfaction with clinical nursing.Results:After the intervention,the GCQ score of the study group was higher than that of the control group,and the time of oral feeding and hospital stay were lower than that of the control group,with statistically significant difference(t=4.736,4.861,5.304;P<0.05).The oral cleanliness of the study group was better than that of the control group,and the oral pathogens were less than those of the control group,with statistically different difference(t/χ^(2)=8.168,9.102;P<0.05).SF-36 and GSES scores in the study group were higher than those in the control group,and the difference was statistically significant(t=3.649,4.319;P<0.05).The nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(χ^(2)=4.887,P<0.05).Conclusion:Quality control circle activities significantly improve the comfort and quality of life of patients after oral cancer flap surgery.As an effective postoperative management strategy,these activities are recommended for wide application in similar clinical settings.

关 键 词：品管圈活动 口腔癌 皮瓣移植 舒适度 生活质量 

分 类 号：R739.85[医药卫生—肿瘤]