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
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