Application of evidence-based quality control circle management in patients undergoing shoulder arthroscopy during the perioperative period
基于循证的品管圈管理在肩关节镜围手术期患者中的应用

摘要

目的 探讨品管圈（QCC）管理在肩关节镜围手术期康复指导落实的应用效果。方法 选择我院2022年11月1日-11月30日进行肩关节镜围手术期的患者25例为实施品管圈管理前的对照组，选择2023年4月25日-5月24日肩关节镜围手术期的患者42例为实施品管圈管理后的观察组。品管圈活动前我们采用常规护理措施；品管圈活动中通过循证小组找出的证据总结，归纳并总结后采用PDCA循环实施，对QCC管理应用前肩关节镜术后康复指导落实不正确的人员进行现状调查，找出真因，从而设定目标，制定对策并积极实施。观察比较品管圈活动前后患者的康复指导落实程度、圈员的品管圈能力。结果 观察组肩关节镜围手术期患者的康复指导落实率大于对照组（P＜0.05）。此之外，观察组的各项评分明显优于对照组（P＜0.05）。结论 品管圈管理可改进肩关节镜围手术期康复指导落实率，提升患者护理质量、生活质量，促进患者康复，值得在临床中推广应用。

Abstract

Objective To explore the application effect of quality control circle (QCC) management in the implementation of rehabilitation guidance during shoulder arthroscopy perioperative period.
Methods 25 patients who underwent shoulder arthroscopy from November 1st to November 30th, 2022 in our hospital were selected as the control group before implementing quality control circle management, and 42 patients who underwent shoulder arthroscopy from April 25th to May 24th, 2023 were selected as the observation group after implementing quality control circle management. We adopt routine nursing measures before the quality control circle activity; In the quality control circle activities, the evidence identified by the evidence-based group is summarized and implemented using the PDCA cycle. A current situation investigation is conducted on personnel who have incorrect implementation of rehabilitation guidance after shoulder arthroscopy in QCC management application, and the root cause is identified. Based on this, goals are set, countermeasures are formulated, and actively implemented. Observe and compare the implementation level of rehabilitation guidance for patients before and after quality control circle activities, as well as the quality control circle abilities of circle members.
Results The implementation rate of rehabilitation guidance for patients undergoing shoulder arthroscopy during the perioperative period in the observation group was higher than that in the control group (P<0.05). In addition, the scores of the observation group were significantly better than those of the control group (P<0.05).
Conclusion   Quality control circle management can improve the implementation rate of perioperative rehabilitation guidance for shoulder arthroscopy, enhance the quality of patient care and life, promote patient recovery, and is worthy of promotion and application in clinical practice.