Abstract
Objective To explore the application effect of quality control circle (QCC) activity in improving the return-to-sport rate of patients after surgery for meniscal injury. Methods A QCC team was established, and “improving the return-to-sport rate of patients after surgery for meniscal injury” was selected as the activity theme. Forty patients who underwent surgery for meniscal injury in the Department of Orthopedics of the First Affiliated Hospital of Sun Yat-sen University from February 28 to April 30, 2024, were included as the control group. After the implementation of QCC activity, another 40 patients who underwent surgery for meniscal injury from February 1 to May 31, 2025, were included as the observation group. The PDCA cycle was adopted to promote the QCC activity, including circle formation, theme selection, current situation analysis, goal setting, cause analysis, true cause verification, countermeasure formulation and implementation, effect evaluation, and standardization. Improvements were carried out around multidisciplinary collaboration, evidence-based training, visualized rehabilitation education, and hospital-family extended nursing. The return-to-sport rate and Tegner score were compared between the two groups. Results After the QCC activity, the return-to-sport rate of patients after surgery for meniscal injury increased from 37. 50% (15/40) to 80. 00% (32/40) (χ²=14. 907, P<0. 01). The target achievement rate of the QCC activity was 130. 97%, and the progress rate was 113. 33%. The Tegner score in the observation group was 3 (2, 4), which was higher than 3 (2, 3) in the control group, with a statistically significant difference (P=0. 049). After the implementation of QCC activity, the circle members showed positive improvements in problem-solving ability, service awareness, cohesion, personal ability, quality control techniques, and communication skills. Conclusion QCC activity improved the return-to-sport rate of patients after surgery for meniscal injury, promoted the recovery of knee joint function, and enhanced the nursing team members’ communication ability, problem-solving ability, and team cohesion. (目的 探讨运用品管圈活动提高半月板损伤术后患者重返运动率的效果。方法 组建品管圈小组, 选定“提高半月板损伤术后患者重返运动率”为活动主题, 将2024年2月28日—4月30日中山大学附属第一医院骨科收治的行半月板损伤手术的40例患者作为对照组。实施品管圈活动后, 将2025年2月1日—5月31日医院收治的半月板损伤手术的40例患者作为观察组。采用PDCA循环推进品管圈活动, 按组圈、主题选定、现状把握、目标设定、要因分析、真因验证、对策拟定与实施、效果评价和标准化流程开展, 围绕多学科协作、循证培训、可视化康复宣教和医院—家庭延伸护理等方向进行改进。比较两组患者的重返运动率及Tegner评分。结果 开展品管圈活动后, 半月板损伤术后患者重返运动率由37. 50%(15/40)提高至80. 00%(32/40)(χ2=14. 907, P＜0. 01)。本次品管圈活动后目标达成率为130. 97%, 进步率为113. 33%。观察组Tegner评分为3(2, 4)分, 优于对照组的3(2, 3) 分, 差异有统计学意义(P=0. 049)。品管圈活动实施后, 圈员在解决问题的能力、服务意识、凝聚力、个人能力、品管手法、沟通手法等方面均呈正向提升。结论 开展品管圈活动能够提高半月板损伤术后患者的重返运动率, 促进患者膝关节功能恢复, 也增强了护理团队的沟通能力、解决问题能力及团队凝聚力。)