Effect Of Quality Control Circle On Limbs Functional Exercise Of Hemiplegia Patients With Stroke

Objective Quality Control Circle was implemented in stroke patients to evaluate the adherence of hemiplegia limb function exercise and analyze the reasons of dif- ference of the limb function exercise compliance. Then implement specific measures and compare functional exercise adherence, self-efficacy, Brunnstrom classification and satisfaction differences before and after activities. Thus to assess effects of quality control tool on proving the limb function in stroke patients with hemiplegiain,so as to provide the proof for nursing quality consis- tently improving.Methods From 2012 December to 2013 December, 100 cases of rehabilitation for stroke patients from certain hospitals in Liaoning Province were extracted as the research object, Quality Control Circle was established in stroke patients to evaluate the adherence of hemiplegia limb function exercise and analyze the reasons of difference of the limb function exercise compliance. From perspect- ives of patients, nurses, environmental and management, we summarized the reasons for poor adherence in stroke patients, then presented the reasons by fishbone diagram and perceived them as an entry point for continuous quality improvement. 96 hemiplegia patients with stroke from March to September in 2014 were selected and randomly divided into the observation group and the control group. The control group take regular exercise rehabilitation, while continuous quality improvement was implemented in observation group: taketargeted measures against existing problems, according to different character- ics of the patients, we develop personalized rehabilitation exercise and ring member missionary program to enhance functional exercise supervision, improve rehabilitation management and knowledge. Then tackled adverse factors affecting exercise adherence in patients with stroke. Questionnaires on general information, functional exercise adherence, self-efficacy scale assesment and patient satisfaction questionnaires were used to investigate patients, and then compare functional exercise adherence, self-efficacy, Brunnstrom grading and satisfaction differences in patients. SPSS18.0 statistical software was used for data entry and analysis, including descriptive analysis, t-test, chi-square test and rank-sum test.Results 1. The comparison of functional exercise adherence before and after the implementation of QCC: The score of compliance after the implementation of QCC was increased, and the difference was statistically significant(P<0.05). 2. The comparison of self-efficacy before and after the implementation of QCC: The score of self-efficacy after the implementation of QCC was increased, and the difference was statistically significant(P<0.01). 3. The comparison of motor function before and after the implementation of QCC: Brunnstrom functional grades were improved after the implementation of QCC, and the difference was statistically significant(P<0.05). 4. The comparison of satisfaction before and after the implementation of QCC: 720 number of entries in the control group, including satisfaction of 637 cases, total satisfaction was 88.47%, while in the observation group, including satisfaction of 670 cases, total satisfaction was 93.06%, the difference was statistically significant(P<0.01).Conclusions 1. QCC management approach can improve functional exercise compliance and promote recovery of limb function.2. QCC management approach can improve patient management selfefficacy. 3. QCC management approach can improve motor function of patients. 4. QCC management approach can effectively improve nursing satisfaction.