摘要
目的探讨品管圈活动在儿童功能性便秘延续护理中的应用效果。方法将2016年3月—12月(品管圈活动前)收治的36例功能性便秘儿童设为对照组,将2017年1月—10月(品管圈活动后)收治42名例功能性便秘儿童作为观察组。对照组实施传统的基于电话回访的延续护理模式,观察组开展基于品管圈活动的延续护理模式。评价观察组患儿便秘临床症状改善情况,评估2组患儿直肠肛管功能。结果进行2个PDCA循环后,观察组患儿自发排便次数、大便性状、排便困难、肛裂出血、前哨痔增大等便秘临床症状改善明显(P <0.05)。实施干预后,观察组患儿肛管静息压、肛门括约肌最大收缩压、直肠初始感觉容量、直肠最大耐受容量改善优于对照组(P <0.05)。结论品管圈活动可增加儿童功能性便秘患者的排便次数,改善排便效果,对改善生活质量具有积极意义。
Objective To evaluate the application efficacy of quality control circle(QCC)activities in extended care of children with functional constipation.Methods Totally 36 children with functional constipation were included as the control group between March 2016 and December 2016,another 42 children with functional constipation were included as the observation group between January 2017 and October 2017.In the control group,the extended care was carried out by using nurse-led telephone follow-up.In the observation group,the extended care was carried out by QCC activities.The clinical symptom of constipation was observed in the observation group,and outcomes of bowel and anal sphincter function assessment were compared between two groups.Results After two rounds of PDCA cycle,There was a significant improvement of constipation-related symptoms including frequency of spontaneous defecation,stool consistency,difficult defecation,anal fissure and enlarged hemorrhoid in the observation group(P < 0.05).Compared with children in the control group,those in the observation group received a better improvement of maximum anal resting pressure(MARP),maximum mnal squeeze pressure(MASP),rectal sensation volume and rectal maximum tolerable volume(P < 0.05).Conclusion The QCC activity is effective to increase the frequency of spontaneous defecation and improve the defecation quality in children with functional constipation.
作者
廖子敏
揭晓军
陈晓燕
LIAO Zimin;JIE Xiaojun;CHEN Xiaoyan(Department of Pediatric Surgery,The First Hospital of Yichang,Yichang,Hubei,443000)
出处
《中西医结合护理（中英文）》
2018年第12期41-45,共5页
Journal of Clinical Nursing in Practice
关键词
品管圈
PDCA循环
功能性便秘
延续护理
健康教育
quality control circle
PDCA cycle
functional constipation
extended care
health education
