PDF(Pubmed)
Abstract：
UNASSIGNED: To evaluate the effectiveness of monitoring and managing process quality control indicators in the prevention of constipation among hospitalized patients with acute coronary syndrome (ACS).
UNASSIGNED: A total of 512 hospitalized patients diagnosed with ACS between January and June 2022 were screened for inclusion in the study. Ultimately, 456 eligible participants were enrolled and divided into two groups based on the chronological order of admission: the control group and the observation group. Upon admission, both groups of patients received routine constipation prevention measures in the department. However, the observation group was subjected to targeted process quality control management, which included monitoring and managing five indicators related to constipation prevention: correctness of bowel movement recording; usage rate of laxatives; execution rate of physical interventions; implementation rate of constipation prevention education; completion rate of dietary structure and habit assessments. Data were analyzed using SPSS, with t tests and χ 2 tests for group comparisons.
UNASSIGNED: In comparison to the control group, the observation group demonstrated significant advantages in terms of constipation incidence, completion rates of the five process quality control indicators, occurrence rates of adverse cardiac events during defecation, and PHQ-9 scores before discharge. These disparities demonstrated statistical significance with a p value < 0.05.
UNASSIGNED: Target-oriented process quality control management is shown to be effective in reducing constipation incidence and adverse cardiac events during constipation episodes, as well as alleviating depressive symptoms among ACS patients, thus providing a safe and effective approach to constipation prevention.
UNASSIGNED: A total of 512 hospitalized patients diagnosed with ACS between January and June 2022 were screened for inclusion in the study. Ultimately, 456 eligible participants were enrolled and divided into two groups based on the chronological order of admission: the control group and the observation group. Upon admission, both groups of patients received routine constipation prevention measures in the department. However, the observation group was subjected to targeted process quality control management, which included monitoring and managing five indicators related to constipation prevention: correctness of bowel movement recording; usage rate of laxatives; execution rate of physical interventions; implementation rate of constipation prevention education; completion rate of dietary structure and habit assessments. Data were analyzed using SPSS, with t tests and χ 2 tests for group comparisons.
UNASSIGNED: In comparison to the control group, the observation group demonstrated significant advantages in terms of constipation incidence, completion rates of the five process quality control indicators, occurrence rates of adverse cardiac events during defecation, and PHQ-9 scores before discharge. These disparities demonstrated statistical significance with a p value < 0.05.
UNASSIGNED: Target-oriented process quality control management is shown to be effective in reducing constipation incidence and adverse cardiac events during constipation episodes, as well as alleviating depressive symptoms among ACS patients, thus providing a safe and effective approach to constipation prevention.
摘要：
■评估监测和管理过程质量控制指标在预防急性冠状动脉综合征（ACS）住院患者便秘中的有效性。
■在2022年1月至6月期间，共有512名被诊断为ACS的住院患者被筛选纳入研究。最终,纳入456名符合条件的参与者，根据入院时间顺序分为两组：对照组和观察组。一被录取,两组患者均接受科室常规便秘预防措施。然而,观察组实施有针对性的过程质量控制管理,其中包括监测和管理与便秘预防有关的五项指标：排便记录的正确性；泻药的使用率；物理干预的执行率；便秘预防教育的执行率；饮食结构和习惯评估的完成率。使用SPSS对数据进行分析，用t检验和χ2检验进行组比较。
■与对照组相比，观察组在便秘发生率方面表现出显著优势，五个过程质量控制指标的完成率，排便期间不良心脏事件的发生率，出院前PHQ-9评分。这些差异显示出p值<0.05的统计学显著性。
■以目标为导向的过程质量控制管理可有效减少便秘发作期间的便秘发生率和不良心脏事件，以及缓解ACS患者的抑郁症状，从而为预防便秘提供了一种安全有效的方法。
■在2022年1月至6月期间，共有512名被诊断为ACS的住院患者被筛选纳入研究。最终,纳入456名符合条件的参与者，根据入院时间顺序分为两组：对照组和观察组。一被录取,两组患者均接受科室常规便秘预防措施。然而,观察组实施有针对性的过程质量控制管理,其中包括监测和管理与便秘预防有关的五项指标：排便记录的正确性；泻药的使用率；物理干预的执行率；便秘预防教育的执行率；饮食结构和习惯评估的完成率。使用SPSS对数据进行分析，用t检验和χ2检验进行组比较。
■与对照组相比，观察组在便秘发生率方面表现出显著优势，五个过程质量控制指标的完成率，排便期间不良心脏事件的发生率，出院前PHQ-9评分。这些差异显示出p值<0.05的统计学显著性。
■以目标为导向的过程质量控制管理可有效减少便秘发作期间的便秘发生率和不良心脏事件，以及缓解ACS患者的抑郁症状，从而为预防便秘提供了一种安全有效的方法。
