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| Influence of quality control circle management mode under enhanced recovery after surgery strategy on clinical efficiency and nursing quality of gynecological surgery |
| Henan Provincial People's Hospital, Zhengzhou, Henan Province, 450003 |
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Abstract To explore the influence of quality control circle (QCC) management mode under enhanced recovery after surgery (ERAS) strategy for patients on their clinical efficiency and nursing quality after gynecological surgery. Methods: 160 patients who had been gynecological surgery from February 2020 to April 2020 were enrolled in this study. Among them, 80 patients with ERAS combined with conventional management mode from February 2020 to March 2020 were included in control group, and 80 patients with ERAS combined with QCC management mode from April 2020 to May 2020 were included in study group. The compliance rate of ERAS strategy implementation, the perioperative indicators, the general self-efficacy scale (GSES) score, the adult health self-management ability review scale (AHSMARS) score, the postoperative complications rate, and the nursing satisfaction of the patients were compared between the two groups. Results: The compliance rate of ERAS implementation (97.5%) of the patients in the study group was significantly higher than that (63.8%) of the patients in the control group. The time of getting out of bed for the first time (13.76±1.88h), the time of anal exhaust (10.45±1.69h), and the time of hospitalization stay (7.53±1.05d) of the patients in the study group were significantly shorter than those (16.85±2.12h, 12.17±1.78h, and 9.65±1.53d) of the patients in the control group. The scores of GSES (4.23±0.11 points) and AHSMARS (4.51±0.12 points) of the patients in the study group were significantly higher than those (3.89±0.14 points and 3.95±0.16 points) of the patients in the control group, and the nursing satisfaction rate (98.8%) of the patients in the study group was significantly higher than that (83.8%) of the patients in the control group. The complication rate (3.8%) of the patients in the study group was significantly lower than that (15.0%) of the patients in the control group (all P<0.05). Conclusion: QCC management mode for the patients after gynecological surgery can improve their efficiency and quality of ERAS nursing measures, can accelerate their rehabilitation process, and can increase their satisfaction.
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