齐凤华 唐素华 杨杰

[摘要] 目的 探讨品管圈活动对骨科住院患者健康宣教满意度的影响。 方法 选取2016年5月～2018年4月河北省迁安市人民医院收治的骨科住院患者100例为研究对象，以抽签法将其分为对照组和实验组，每组各50例。对照组施以常规护理管理，实验组施以品管圈管理，观察两组患者的管理满意度、健康教育知晓率、护理人员职业技能评分与不良事件的发生率情况。 结果 实验组健康教育知晓率显著高于对照组，护理满意度显著高于对照组，职业技能评分显著高于对照组，以及不良事件发生率显著低于对照组，差异均有统计学意义（P < 0.05或P < 0.01）。 结论 品管圈活动能够有效地提升骨科住院患者的健康教育知晓率、护理管理满意度，同时能够提升护理人员职业技能评分，并且能够降低不良事件的发生率，具有较高的临床推广价值。

[关键词] 品管圈活动;骨科;健康宣教;满意度

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1673-7210（2020）07（a）-0183-04

[Abstract] Objective To explore the influence of quality control circle activities on the satisfaction of health education of orthopedic inpatients. Methods A total of 100 orthopedic inpatients from May 2016 to April 2018 in Qian′an People′s Hospital of Hebei Province were selected as the subjects of this study. They were divided into control group and experimental group by the method of drawing lots， with 50 patients in each group. The control group was given routine nursing management， the experimental group was given quality control circle management， and the patients′ management satisfaction， awareness rate of health education， professional skill score of nurses and the incidence of adverse events in the two groups were observed. Results The awareness rate of health education in the experimental group was significantly higher than that in the control group， the satisfaction of nursing in the experimental group was significantly higher than that in the control group， the score of vocational skills in the experimental group was significantly higher than that in the control group， and the incidence of adverse events in the experimental group was significantly lower than that in the control group and the differences were statistically significant （P < 0.05 or P < 0.01）. Conclusion The activities of quality control circle can effectively improve the awareness rate of health education and satisfaction of nursing management of inpatients in orthopedic department， improve the professional skill score of nursing staff， and reduce the incidence of adverse events， which has a high clinical promotion value.

[Key words] Quality control circle activities; Orthopedics; Health education; Satisfaction

健康教育的實施，可以强化患者健康意识，并让患者了解相关的疾病知识和护理干预措施，提高患者依从性和护理满意度[1]。以往临床中主要对患者进行常规的健康宣教，由于内容程式化，无法提升患者的认知度，进而无法获得良好的效果。随着医学的不断发展，临床护理模式也不断更新，近年来品管圈活动被广泛应用于临床护理工作中，该活动要求同一工作性质或在同一工作现场的人员自发地组成小团体和进行品质管理。目前，已有不少临床研究证实，将其应用于护理工作中，可有效提高护理工作质量[2]。但关于其在骨科住院患者健康宣教护理中的报道并不多见，因此，本文对骨科住院患者健康宣教开展品……