Abstract

To investigate the application and evaluation of effective quality management by objectives in patient care for persistent vacuum sealing drainage (VSD), a total of 164 patients with fractures of the hands and feet combined with soft tissue damage admitted to the department of hand and foot surgery in a provincial tertiary hospital from January 2018 to January 2020 were selected as study subjects. The patients were randomly divided into observation and control groups based on the types of fractures, with 82 patients in each group, and both groups underwent VSD surgery for treatment. Both of the groups were cared for VSD using the original nursing model and were compared in terms of treatment compliance, wound recovery, the occurrence of complications, and patient satisfaction with nursing work. The treatment compliance of patients in the observation group was higher than that of the control group (P < 0.05). Moreover, the wound healing condition in the observation group and the postoperative wound recovery data were better. The hospitalization time and the number of replacement suckers were less (P < 0.05), which met the requirements of statistical research. This confirmed that the application of quality management by objectives in patient care can improve patient compliance with treatment, promote wound healing, reduce the occurrence of corresponding postoperative complications in patients, and improve patient satisfaction with health nursing, which can be promoted for use in the workplace.

Highlights

  • E application of vacuum sealing drainage (VSD) for treatment can reduce the length of hospitalization, reduce the number of dressing changes, and reduce the cost of hospitalization for patients

  • Complications may occur when applying VSD for treatment, which can be reduced if the VSD treatment is aided by scientific and rigorous nursing measures. e management by the objective model is a modern management style [3], which emphasizes a goal-oriented, peoplecentered, and results-based management model, and its application can lead to better results for teams and individuals [4, 5]

  • 45 cases were of open hand injuries and 37 cases of open foot injuries. ere was no significant difference (P > 0.05) between the two groups comparing the patient data in terms of basic information such as gender, age, and injured part, and the study was approved by the medical ethics committee. e inclusion criteria were as follows: (i) patients willing to voluntarily participate in the study, (ii) patients were diagnosed with fracture combined with soft tissue injury, (iii) the wound area was 4–42 cm2, and (iv) the main treatment method was VSD

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Summary

Introduction

E application of VSD for treatment can reduce the length of hospitalization, reduce the number of dressing changes, and reduce the cost of hospitalization for patients. Complications may occur when applying VSD for treatment, which can be reduced if the VSD treatment is aided by scientific and rigorous nursing measures. Is study aims to improve the quality of nursing and reduce complications after VSD by setting reasonable quality nursing goals and adopting appropriate nursing measures. Journal of Healthcare Engineering fractures of the hands and feet were examined and were compared in terms of treatment compliance, wound recovery, the occurrence of complications, and patient satisfaction with nursing work using management by objective measures.

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