品管圈在提高腰椎间盘突出症术后患者功能锻炼依从率的应用效果

Application Effect of Quality Control Circle in Improving Functional Exercise Compliance Rate of Postoperative Patients with Lumbar Disc Herniation

摘要: 目的：探讨品管圈在提高腰椎间盘突出症术后患者功能锻炼依从率中的应用效果，改善腰椎间盘突出症行后入路腰椎椎体间融合术后患者预后。方法：通过组建脊柱外科品管圈小组，进行头脑风暴确定主题并拟定改善计划，选取2022年9月~2023年1月我科因腰椎间盘突出症行后入路腰椎椎体间融合术需进行功能锻炼的患者150例患者，其中实验组75例，对照组75例，实施品管圈活动，比较两组患者功能锻炼依从率，功能锻炼正确执行率，护理满意度。结果：实施品管圈活动后，我科因腰椎间盘突出症行后入路腰椎椎体间融合术需进行功能锻炼的患者功能锻炼依从率从57.3%提高到94.7%，功能锻炼正确率从52.0%提高到91.0%，护理满意度从52.1%提高到95.3%，且差异具有统计学意义(P < 0.05)。讨论：通过进行品管圈活动对腰椎间盘突出症行后入路腰椎椎体间融合术后患者功能锻炼流程及细节进行优化，可有效提高患者功能锻炼依从率及正确执行率，同时提升护理人员的综合能力，提高护理满意度，同时为日后的护理质量改善工作提供循证依据。

Abstract: Objective: To explore the effect of quality control circle in improving the compliance rate of func-tional exercise in patients with lumbar disc herniation and to improve the prognosis of patients af-ter lumbar interbody fusion through posterior approach. Methods: By setting up a quality control circle group for spinal surgery, brainstorming to determine the theme and draw up an improve-ment plan. A total of 150 patients who needed functional exercise for lumbar interbody fusion by posterior approach for lumbar disc herniation from September 2022 to January 2023 were includ-ed. 75 patients in the experimental group and 75 patients in the control group were treated with quality control circle activity. The compliance rate and correct implementation rate of functional exercise were compared between the two groups and the nursing satisfaction. Results: After the implementation of quality control circle activities, the functional exercise compliance rate of pa-tients undergoing lumbar interbody fusion via posterior approach for lumbar disc herniation in-creased from 57.3% to 94.7%, and the correct rate of functional exercise increased from 52.0% to 91.0%. Nursing satisfaction increased from 52.1% to 95.3%, and the difference was statistically significant (P < 0.05). Discussion: The functional exercise process and details of patients after lum-bar interbody fusion through posterior approach for lumbar disc herniation were optimized by quality control circle activity, which can effectively improve the compliance rate and correct im-plementation rate of patients’ functional exercise, and at the same time, improve the comprehen-sive ability of nurses, improve nursing satisfaction, and provide evidence-based basis for the im-provement of nursing quality in the future.