Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (4): 165-168.doi: 10.6040/j.issn.1673-3770.0.2018.362

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Effects of a quality control circle-based discharge plan on rehabilitation after ear deformity reconstruction

WANG Panpan   

  1. Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China
  • Online:2019-07-20 Published:2019-07-22

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Abstract: Objective To explore the effects of a quality control circle-based discharge plan on the rehabilitation of patients after ear deformity reconstruction. Methods From February 2014 to January 2018, 107 patients with congenital microtia malformation who underwent ear deformity reconstruction in the First Affiliated Hospital of Harbin Medical University were enrolled in this study. Patients were divided into an observation group(n=57)and a control group(n=50), and received different nursing. All patients underwent general anesthesia during ear deformity reconstruction. The control group received routine discharge management after operation, the observation group received discharge management based on a quality control circle, and the postoperative rehabilitation of the two groups was recorded. Results The excellent and good rates of reconstructed auricles were significantly higher in the observation group(100%, 57/57)than in the control group(88.0%, 44/50)(χ2=7.246, P=0.007). The incidence of complications was significantly lower in the observation group(3.5%, 2/57)than in the control group(20.0%, 10/50)(χ2=7.275, P=0.007). Additionally, pain scores of the observation group(0.76±0.22 points)were significantly lower than those of the control group(1.72±0.44 points)(t=9.133, P=0.000). The sleep scores of the observation group and the control group were 6.49±2.85 points and 9.19±3.11 points, respectively(t=5.922, P=0.014). Compared with the control group, the observation group's self-confidence, enthusiasm, ability to solve daily and work problems, and sense of responsibility were significantly improved. Conclusion The discharge management plan based on a quality control circle can promote the recovery of patients after ear deformity reconstruction, reduce the occurrence of complications, improve the symptoms of pain and sleep disorders, and improve the quality of care.

Key words: Small ear deformity, Ear deformity reconstruction, Quality control circle, Discharge plan, Complications

CLC Number: 

  • R764.7
[1] Yu J, Yu Y. Therapeutic effects of targeted nursing interventions combined with auricular-plaster therapy on anxiety level and life quality of Hepatitis Bpatients[J]. Pak J Pharm Sci, 2018, 31(4):1375-1378.
[2] 牟莉,胡金天,刘暾.耳郭离断伤耳软骨回植修复术围手术期护理[J].中华耳科学杂志,2014,12(4):575-577.
[3] 姜海霞,陈威威.全扩张法耳郭再造术的护理[J].中华现代护理杂志,2013,19(13):1558-1560.
[4] Hailegiyorgis TT, Sarhie WD, Workie HM. Isolation and antimicrobial drug susceptibility pattern of bacterial pathogens from pediatric patients with otitis media in selected health institutions, Addis Ababa, Ethiopia: a prospective cross-sectional study[J]. BMC Ear Nose Throat Disord, 2018, 24(18):8.
[5] 孟庆芳,刘学红.临床护理路径在外耳再造患者围手术期中的应用[J].中华耳科学杂志,2015,22(4):715-717.
[6] Mady LJ, Nilsen ML, Johnson JT. Head and neck cancer in the elderly: frailty, shared decisions, and avoidance of low value care[J]. Clin Geriatr Med, 2018, 34(2):233-244.
[7] Assis BS, Jairza JMB, Lopes JA, et al. Micronutrient intake in elderly living in nursing homes[J]. Nutr Hosp, 2018, 35(1):59-64.
[8] Knighton SC, Dolansky M, Donskey C, et al. Use of a verbal electronic audio reminder with a patient hand hygiene bundle to increase independent patient hand hygiene practices of older adults in an acute care setting[J]. Am J Infect Control, 2018, 46(6):610-616.
[9] 牟莉,吴启侠,姜海霞,等.扩张法外耳再造术常见并发症原因分析和护理对策[J].中华耳科学杂志,2015,9(1):183-186.
[10] Chung KF, Yeung WF, Yu BY, et al. Acupuncture with or without combined auricular acupuncture for insomnia: a randomised, waitlist-controlled trial[J]. Acupunct Med, 2018, 36(1):2-13.
[11] Barakat-Johnson M, Barnett C, Wand T, et al. Medical device-related pressure injuries: an exploratory descriptive study in an acute tertiary hospital in Australia[J]. J Tissue Viability, 2017, 26(4):246-253.
[12] 孟庆芳,刘学红.视频健康宣教在外耳再造手术患者中的应用[J].中华耳科学杂志,2016,14(1):122-124.
[13] Fraser S, Mackean T, Grant J, et al. Use of telehealth for health care of Indigenous peoples with chronic conditions: a systematic review[J]. Rural Remote Health, 2017, 17(3):4205.
[14] 李小林,王红霞,刘林奇.小耳畸形再造术前实施多媒体健康宣教可提高患者术后的依从性[J].中国美容整形外科杂志,2017,28(12):759-760.
[15] de Wit E, van Dijk P, Hanekamp S, et al. Same or different: the overlap between children with auditory processing disorders and children with other developmental disorders: a systematic review[J]. Ear Hear, 2018, 39(1):1-19.
[16] Osborn HA, Rathi VK, Tjoa T, et al. Risk factors for thirty-day readmission following flap reconstruction of oncologic defects of the head and neck[J]. Laryngoscope, 2018, 128(2):343-349.
[17] 徐奋,田烨.先天性小耳畸形全耳再造围手术期护理[J].现代诊断与治疗,2017,28(17):3313-3315.
[18] Jimmy R, Stern C, Lisy K, et al. Effectiveness of mifamurtide in addition to standard chemotherapy for high-grade osteosarcoma: a systematic review[J]. JBI Database System Rev Implement Rep, 2017, 15(8):2113-2152.
[19] Hartnick C, Diercks G, De Guzman V, et al. A quality study of family-centered care coordination to improve care for children undergoing tracheostomy and the quality of life for their caregivers[J]. Int J Pediatr Otorhinolaryngol, 2017, 8(99):107-110.
[20] 张君莉,洪雯婷,周琦.3D打印耳罩在先天小耳畸形全耳郭再造术后的应用效果[J].上海护理,2017,17(2):57-59.
[21] McRackan TR, Noble JH, Wilkinson EP, et al. Implementation of image-guided cochlear implant programming at a distant site[J]. Otolaryngol Head Neck Surg, 2017,156(5):933-937.
[22] 方芳,马永青.自体肋软骨移植全耳郭再造术20例护理体会[J].齐鲁护理杂志,2017,23(12):95-96.
[23] Krishnan G, Du C, Fishman JM, et al. The current status of human laryngeal transplantation in 2017: a state of the field review[J]. Laryngoscope, 2017, 127(8):1861-1868.
[24] 刘露.皮肤软组织扩张法全耳再造二期手术的术后观察和护理[J].中国现代药物应用,2013,7(20):188-189.
[25] Yang JM, Jiang H, Dai HL, et al. Feeble antipyretic, analgesic, and anti-inflammatory activities were found with regular dose 4'-O-β-D-glucosyl-5-O-methylvisamminol, one of the conventional marker compounds for quality evaluation of radix saposhnikoviae[J]. Pharmacogn Mag, 2017, 13(49):168-174.
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