Evaluation Of The Effect Of Quality Control Circle On The Early Activity Standard Of Conscious Patients With Stroke

ObjectiveTo investigate the current status of early activity norms for conscious stroke patients,and find relevant factors that affect the rate of early activity norms;To explore the intervention effects of quality control circles on patients,and apply quality control circles to intervention measures to improve patients’ early activity norms,and provide reference for guiding the early clinical practice.MethodThe research subjects were conscious stroke patients who had been filed in outpatient clinics from April to September 2018 in a tertiary hospital.The selected subjects were screened according to the inclusion criteria.According to the order of admission,100 cases were selected into the intervention group;190 cases were entered into the control group.Intervention group: understand the current status of patients’ activities;check the patients’ cognition,psychology,pressure,and mastery of activity knowledge;use fishbone diagrams to screen out the real cause of the impact,develop and implement interventions.The whole process follows the PDCA cycle(Plan Do Check Action),with a total activity cycle of 26 weeks.Distribute self-efficacy and satisfaction questionnaires before and after improvement for statistical analysis.Follow-up and rehabilitation guidance will be given to the patients within one week of discharge.Control group: Distribute health education leaflets and love cards;conduct activity guidance and education.Participate in the stroke network information platform,open a hotline consultation for stroke patients,and routine investigations and follow-ups after admission and discharge.Result1.290 questionnaires were issued before the intervention,and 258 were recovered.The two groups were compared in each category:(1)The difference in planned activity time and education was statistically significant(P<0.001)(2)The difference in age and medical expenses payment methods was statistically significant significance(P<0.05)(3)The average total score of self-efficacy before intervention was 90.93 ± 22.71,the average score of skill dimension was 44.21 ± 11.75;the average of inner activity dimension was 46.72 ± 11.27,there was no statistical significance between the two groups.2.Self-efficacy survey results after intervention: Average score: 100.96±20.04(49.47±13.42,50.21±10.11).Comparing skill dimension scores between the two groups:(56.98±13.81 points;45.77±11.88 points);inner activity:(55.08±11.40points;47.80±12.25 points).The difference between the two groups is statistically significant,and the intervention group has significantly higher scores on each dimension In the control group,P<0.001.3.Multivariate logistic regression analysis of self-efficacy influencing factors,two variables enter the regression equation,respectively,to get the correct guidance,activity knowledge score,etc.enter the regression equation,the knowledge score increases by 1 point,the probability of high self-efficacy score increases by 1.18,If you get effective guidance,the probability of getting a high score increases by 1.81 times.4.After the intervention,the comparison of the two groups’ activities: the distribution of the two groups was statistically different(P<0.001);the intervention group had the highest proportion of limb joint mobility training,accounting for70.6%,followed by posture transfer,accounting for 25.6%.5.Satisfaction survey after intervention: The satisfaction score of the intervention group(87.87 ±9.01 points)was higher than that of the control group(79.05±6.56 points).6.Compared with the control group(10.95±0.62 days,6063.15±1.95 yuan)in terms of hospitalization days and hospitalization fees(8.36±0.68 days,4515.87±1.48 yuan),there was a statistically significant difference between the two groups(P<0.001).7.Accelerated the growth of nurses.The average score of self-efficacy before the activity was 90.94 points and the score after the activity was 100.96 points.The knowledge and skills of the intervention group patients all reached the target value.ConclusionsThe quality control circle has played a very good role in improving the standard of patients’ early activities,increasing the standard rate before improvement from70.08% to 87.91% after improvement,increasing self-efficacy and improving patient satisfaction.The length of hospital stay is shortened,and hospitalization costs are saved.