品管圈在提高颞下颌关节紊乱患者术后功能锻炼依从性的效果评价

doi:10.19438/j.cjoms.2021.04.010

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (4): 340-344.doi: 10.19438/j.cjoms.2021.04.010

品管圈在提高颞下颌关节紊乱患者术后功能锻炼依从性的效果评价

孙明媛^1,2, 俞蕾蕾^1,2,*, 顾雅洁^1,2,*, 夏滴^1,2

1.上海交通大学医学院附属第九人民医院护理部,2.口腔外科,上海 200011

收稿日期:2020-09-09 修回日期:2020-12-11 出版日期:2021-07-20 发布日期:2021-08-05
通讯作者: 俞蕾蕾,E-mail:sile1988@126.com;顾雅洁,E-mail:kouqiangwaike0304@126.com。^*共同通信作者
作者简介:孙明媛（1991-）,女,本科,护师,E-mail:sophinajr@163.com
基金资助:
上海市卫生和计划生育委员会科研课题（201740277）; 上海市“医苑新星”青年医学人才培养资助计划（护理项目）; 上海交通大学医学院附属第九人民医院护理院基金项目（JYHRC18-P01）

The effect of quality control circle on improving the compliance of postoperative functional exercise in patients with temporomandibular joint disease

SUN Ming-yuan^1,2, YU Lei-lei^1,2, GU Ya-jie^1,2, XIA Di^1,2

1. Nursing Department, 2. Department of Oral Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2020-09-09 Revised:2020-12-11 Online:2021-07-20 Published:2021-08-05

摘要/Abstract

摘要： 目的： 探讨品管圈活动在提高颞下颌关节紊乱病（TMD）患者术后功能锻炼依从性的实践效果。方法： 采用方便抽样,选择2019年7—8月上海交通大学医学院附属第九人民医院口腔外科确诊为颞下颌关节疾病,并接受颞下颌关节手术的患者50例作为对照组,同法选择2019年12月—2020年1月治疗的50例患者作为实验组,对照组予以常规护理,实验组开展以“提高颞下颌关节紊乱病患者术后功能锻炼依从性”为主题的品管圈活动,运用质量管理常用工具针对依从性较低的现状进行要因分析并实施相应对策,比较2组患者术后功能锻炼的依从性、疼痛评分、开口度情况。采用SPSS 20.0软件包对数据进行统计学分析。结果： TMD患者术后功能锻炼依从性由品管圈活动实施前的57.90%提升至实施后的87.78%,术后1个月最大开口度由活动前的（26.54±5.33）mm提高至（28.32±4.67）mm,疼痛由（2.48±1.084）分降低至（1.40±0.957）分,差异均有统计学意义（P<0.05）。结论： 实施品管圈活动可有效提高TMD患者术后功能锻炼的依从性,促进患者关节功能恢复,提高护理人员的综合能力及保障护理质量。

关键词: 品管圈, 颞下颌关节紊乱病, 术后功能锻炼

Abstract: PURPOSE: To explore the practical effect of quality control circle (QCC) movement on improving the compliance of postoperative functional exercise in patients undergoing temporomandibular joint(TMJ) anchorage surgery. METHODS: A convenience sampling method was used to select 50 cases with temporomandibular joint diseases (TMD) diagnosed in the Department of Oral Surgery as the control group from July 2019 to August 2019, and 50 cases were selected as the experimental group using the same method from December 2019 to January 2020. Patients in the control group were given routing nursing care. QCC program with the theme of "Improving postoperative functional exercise compliance of patients with temporomandibular disorder" was conducted in the experimental group, in which common quality control tools were used to analyze the causes and made strategies for those with low functional exercise compliance. The functional exercise compliance, pain score and maximum mouth opening were compared between the two groups. SPSS 20.0 software package was used for statistical analysis. RESULTS: The functional exercise compliance of TMD patients increased from 57.90% to 87.78%, maximum mouth opening at postoperative 1 month increased from (26.54±5.33)mm to (28.32±4.67)mm(P<0.05), while VAS score of pain decreased from 2.48±1.084 to 1.40±0.957(P<0.05). CONCLUSIONS: Implementation of QCC program has positive effect on improving the postoperative functional exercise compliance and the joint function recovery of TMD patients, promoting the comprehensive ability of nurses and assuring the nursing quality.

Key words: Quality control circle, Temporomandibular joint disorder, Postoperative functional exercise

中图分类号:

R473.78

孙明媛, 俞蕾蕾, 顾雅洁, 夏滴. 品管圈在提高颞下颌关节紊乱患者术后功能锻炼依从性的效果评价[J]. 中国口腔颌面外科杂志, 2021, 19(4): 340-344.

SUN Ming-yuan, YU Lei-lei, GU Ya-jie, XIA Di. The effect of quality control circle on improving the compliance of postoperative functional exercise in patients with temporomandibular joint disease[J]. China J Oral Maxillofac Surg, 2021, 19(4): 340-344.

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品管圈在提高颞下颌关节紊乱患者术后功能锻炼依从性的效果评价

The effect of quality control circle on improving the compliance of postoperative functional exercise in patients with temporomandibular joint disease

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