Effect of evidence-based quality control circle in improving the implementation rate of enhanced recovery after surgery in gynecological tumor surgery
10.3760/cma.j.cn115682-20210105-00046
- VernacularTitle:基于循证的品管圈在提高妇科肿瘤手术加速康复外科措施落实率中的应用
- Author:
Lifen CHEN
1
;
Shuju YU
;
Weiwei YE
;
Haiyan KONG
;
Yingzi ZHOU
Author Information
1. 温州医科大学附属第一医院妇科，温州 325200
- Keywords:
Gynecological neoplasms;
Evidence-based nursing;
Quality control circle;
Enhanced recovery after surgery;
Implementation
- From:
Chinese Journal of Modern Nursing
2021;27(16):2142-2146
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of evidence-based quality control circle activities in improving the implementation rate of enhanced recovery after surgery in gynecological tumor surgery.Methods:Gynecological tumor surgery patients admitted to the First Affiliated Hospital of Wenzhou Medical University were selected as the research object from January to March 2018 and September to December 2018, respectively. A total of 80 patients before the quality control circle activities from January to March 2018 were used as the control group, and the conventional enhanced recovery program was adopted. A total of 78 patients after the quality control circle activities from September to December 2018 were taken as the observation group, and the enhanced recovery program was implemented based on the evidence-based quality control circle. The implementation rate of enhanced recovery after surgery, postoperative rehabilitation indicators, and hospitalization satisfaction of the two groups of patients were compared.Results:The total implementation rate of the 8 enhanced recovery after surgery in observation group was 86.9% (542/624) , which was higher than 62.2% (398/640) of control group. The total incidence of complications in observation group was 6.4% (5/78) , which was lower than 22.5% (18/80) in control group. The early ambulation time, exhaust time, and hospitalization time of observation group were shorter than those of control group, and the hospitalization satisfaction of observation group was higher than that of control group. The above differences were statistically significant ( P<0.05) . Conclusions:Evidence-based quality control circle activities can standardize the practice standards for enhanced recovery, facilitate the development of enhanced recovery after surgery for gynecological tumor surgery, and promote postoperative recovery of patients.
