PDCA循环结合健康教育对老年脑卒中出院患者健康行为及生活能力的影响分析

Effect of PDCA cycle combined with health education on health behavior and life ability of discharged elderly stroke patients

目的研究老年脑卒中患者接受健康教育联合PDCA循环模式护理干预的临床价值。方法选择在本院进行治疗的88例60岁以上老年脑卒中患者,根据护理模式的差异将其分成对照组和观察组,接受常规内科护理的44例患者为对照组,在常规内科护理的基础上增加实施健康教育联合PDCA循环模式护理干预的44例患者为观察组。对比两组患者在护理前后健康行为、生活能力、生活质量、心理状态、神经功能缺损程度评分、对护理服务满意度、出院后不良事件发生情况、住院总时间。结果观察组患者在护理前后健康行为、生活能力、生活质量、心理状态、神经功能缺损程度评分的改善幅度大于对照组,组间数据比较P<0.05;对护理服务满意度达到93.2%,高于对照组的77.3%,组间数据比较P<0.05;仅有1例出院后不良事件发生,少于对照组的6例,组间数据比较P<0.05;住院总时间短于对照组,组间数据比较P<0.05。结论老年脑卒中患者接受健康教育联合PDCA循环模式护理干预,可以大幅度改善患者出院后的健康行为、生活能力、生活质量、心理状态、神经功能,减少不良事件的发生,缩短住院总时间,使满意度得到显著提升。

Objective To study the clinical value of health education combined with PDCA cycle model nursing intervention in elderly stroke patients.Methods 88 cases of elderly stroke patients over 60 years old in our hospital were selected and divided into the control group and the observation group according to the difference of nursing mode.44 cases of patients receiving routine medical care were in the control group,and 44 cases of patients receiving health education combined with PDCA cycle mode nursing intervention on the basis of routine medical care were in the observation group.The health behavior,ability of life,quality of life,psychological state,neurological deficit score,satisfaction with nursing service,incidence of adverse events after discharge and total length of stay between the two groups were compared before and after nursing.Results The improvement range of health behavior,life ability,quality of life,mental state and neurological deficit score in the observation group before and after nursing was greater than that in the control group,and the data comparison between two groups had significant differences(P<0.05).The satisfaction degree of nursing service was 93.2%,which was higher than 77.3%of the control group(P<0.05);Only one case of adverse events occurred after discharge,which was less than 6 cases in the control group(P<0.05);The total length of stay in the control group was shorter than that in the control group(P<0.05).Conclusion Elderly stroke patients receiving health education combined with PDCA cycle model nursing intervention can greatly improve the health behavior,life ability,quality of life,psychological state and neurological function of patients after discharge,reduce the occurrence of adverse events,shorten the total length of hospital stay,and significantly improve the satisfaction.