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目的:探讨品管圈对提高尘肺患者自我管理依从性的影响。方法:选取2014年6月~7月我科收治的81例尘肺患者为研究对象,通过QC小组活动,分析患者自我管理依从性低的原因,并通过采取建立患者健康管理档案、完善健康教育资料、规范健康教育流程、建立监督管理机制等方法提高患者自我管理的依从性。结果:活动后患者的第1秒用力呼气容积、用力肺活量、氧分压均高于活动前(P<0.05)。活动后患者每年住院的频次、呼吸困难严重程度评分及运动性均低于活动前(P<0.05)。活动后尘肺患者自我管理的依从率由35.80%提高到80.25%,达到了活动目标,差异有统计学意义(P<0.05)。结论:通过品管圈活动,加强尘肺患者的健康教育管理及监督,有助于提高尘肺患者自我管理的依从性,减少感染、并发症的出现及患者住院次数,提高患者生活质量及满意度。
Objective: To explore the impact of quality control circle on improving self-management compliance of pneumoconiosis patients. Methods: A total of 81 cases of pneumoconiosis treated in our department from June to July 2014 were selected as the research subjects. The reasons for the low self-management compliance were analyzed through the QC group activities. By setting up the patient health management files and improving the health education materials , Standardize the process of health education, the establishment of supervision and management mechanisms and other methods to improve patient self-compliance. Results: The forced expiratory volume, forced vital capacity and oxygen partial pressure were all higher than those before exercise (P <0.05). The frequency of annual hospitalization, severity of dyspnea, and exercise were lower in patients than those before exercise (P <0.05). The compliance rate of patients with self-management of patients with pneumoconiosis increased from 35.80% to 80.25%, reaching the goal of activity, the difference was statistically significant (P <0.05). Conclusion: To strengthen the health education management and supervision of patients with pneumoconiosis through quality control circle activities can help to improve self-management compliance of patients with pneumoconiosis, reduce the incidence of infection, the occurrence of complications and the number of patients hospitalized, and improve the quality of life and satisfaction of patients.