摘要
目的提高肩关节镜术后患者康复功能锻炼达标率,促进肩关节功能康复。方法按品管圈活动步骤,对肩关节镜术后患者康复锻炼达标率低的现状进行要因分析,制定并落实6项质量改进措施。结果开展品管圈活动后,肩关节镜术后康复功能锻炼达标率由49.66%提高至70.83%(P<0.05);品管圈活动开展期间患者术后8周肩关节活动度显著优于品管圈活动前患者(均P<0.05)。品管圈活动目标达成率为86.27%,进步率为42.63%。结论品管圈活动有效提高肩关节镜术后患者康复功能锻炼达标率,保证了临床康复护理效果。
Objective To improve target-reach rate of rehabilitation exercise in patients after shoulder arthroscopy and to promote recovery of shoulder function.Methods We identified the causes of low target-reach rate of rehabilitation exercise in patients after should arthroscopy by using quality control circle（QCC）activities,then formulated and performed 6improvement measures.Results After running QCC activities,the target-reach rate was increased from 49.66%to 70.83%（P〈0.05）;and shoulder′s range of motion measured at 8th week postoperatively was significantly improved after QCC activities,as compared to that before the activities（P〈0.05 for all）.The rate of QCC goals achieving stood at 86.27%,with the rate of goal improvement at 42.63%.Conclusion QCC activities effectively improved target-reach rate of rehabilitation exercise in patients after shoulder arthroscopy and ensured clinical effect of rehabilitation.
基金
2014年度镇江市科技支撑-社会发展项目(SH2014088)
关键词
肩关节创伤
肩关节
镜下手术
功能锻炼
达标率
品管圈
shoulder trauma
shoulder joint
shoulder arthroscopy
rehabilitation exercise
target-reach rate
quality control circle
