Application of quality control circle activities supported by smart nursing platform in optimizing the postoperative rehabilitation process of elderly patients with hip fracture (智慧护理平台支持的品管圈活动在优化老年髋部骨折患者术后康复进程中的应用)

Abstract

Objective To evaluate the quality control circle (QCC)activity supported by smart nursing platform in optimizing the postoperative rehabilitation process of elderly patients with hip fracture. Methods Totally 50 elderly patients undergoing hip fracture surgery were divided into the observation group (n=23 and 2 cases lost to follow-up)and a control group(n=25)according to the admission sequence. The control group received routine nursing care, while the observation group received QCC activity interventions supported by a smart nursing platform. To analyze patients’ compliance with rehabilitation before and after implementation of QCC activities, and to compare the Harris Hip Score (HHS) and Barthel index (BI) between two groups. Results The rate of compliance with rehabilitation behavior increased from 80. 36% to 97. 40% after implementation of QCC activity supported by the smart nursing platform. Scores of HHS and BI in the observation group were higher than those in the control group, with a significant difference(P＜0. 05). Conclusion The QCC activity supported by the smart nursing platform helps improve the compliance rate of patients' postoperative rehabilitation behavior, and ensure the recovery after hip fracture surgery. (目的 探讨智慧护理平台支持下的品管圈(QCC)活动在优化老年髋部骨折患者术后康复进程中的实践效果。方法 选取2022年6月1日—2023年5月31日医院收治的50例老年髋部骨折术后康复患者为研究对象, 按照入院先后顺序分成观察组和对照组, 观察组2例患者失访, 最终对照组纳入25例, 观察组纳入23例。对照组实施常规护理; 观察组开展智慧护理平台支持下的QCC活动, 优化术后康复护理流程。分析智慧护理平台支持下的QCC活动实施前和实施后患者康复行为依从情况, 对比两组患者Harris髋关节功能评分和Barthel指数评分。结果 智慧护理平台支持下的QCC活动实施后, 患者术后康复行为依从率从80. 36%上升至97. 40%。观察组Harris髋关节功能评分和Barthel指数评分高于对照组, 差异有统计学意义(P＜0. 05)。结论 智慧护理平台支持的QCC活动有助于提高患者术后康复行为的依从率, 确保患者术后康复效果。)

Keywords

• smart nursing platform
• quality control circle
• hip fractures in the elderly
• postoperative rehabilitation
• 智慧护理平台
• 品管圈活动
• 老年髋部骨折
• 术后康复