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目的:评估品管圈在老年痴呆症患者股骨颈骨折护理中的应用价值。方法:将2011年1月-2014年12月杭州市富阳区第二人民医院骨科收治的160例股骨颈部骨折老年痴呆患者随机分为对照组(80例)和观察组(80例),对照组给予常规护理,观察组在常规护理基础上开展品管圈活动。评估观察组品管圈活动的目标达成率和进步率,比较两组患者的疼痛评分、舒适评分和对护理的满意度。结果:品管圈活动目标达成率和进步率分别为102.78%和69.23%;圈内成员综合素质评分有所提高;观察组患者的疼痛评分明显低于对照组,舒适评分明显高于对照组(P<0.05);治疗后观察组患者满意度(92.5%)明显高于对照组(66.3%),P<0.01;结论:品管圈活动有助于缓解股骨颈部骨折老年痴呆患者的疼痛,增强舒适度,提高患者的满意度。
Objective: To evaluate the value of quality control ring in the treatment of femoral neck fracture in patients with Alzheimer’s disease. Methods: One hundred and sixty patients with senile dementia with femoral neck fractures admitted from Department of Orthopedics, Second People’s Hospital of Fuyang District, Hangzhou from January 2011 to December 2014 were randomly divided into control group (80 cases) and observation group (80 cases) Group given routine care, the observation group to carry out quality control activities based on routine care. To assess the rate of achievement and rate of improvement of the observation group’s activities of the rings, and to compare the pain scores, comfort scores and satisfaction with the two groups of patients. Results: The attainment rate and progress rate of QOL activities were 102.78% and 69.23%, respectively. The comprehensive quality scores of the circle members were improved. The scores of pain in the observation group were significantly lower than those in the control group, and the comfort scores were significantly higher than those in the control group P <0.05). After treatment, the satisfaction of patients in the observation group (92.5%) was significantly higher than that of the control group (66.3%), P <0.01. CONCLUSION: The quality control circle activities can relieve the pain of senile dementia patients with femoral neck fracture, Enhance comfort, improve patient satisfaction.