PDCA循环管理模式在改善留置T管引流患者焦虑情绪中的应用

Application of PDCA cycle management model in improving patients′ anxiety in patients with T tube drainage

目的：探讨PDCA循环管理模式对改善留置T管引流患者焦虑情绪的作用。方法将60例T管引流患者分为实验组（2013年9月～2014年3月）和对照组（2013年3～8月），对照组采用常规护理方法，实验组在常规护理的基础上，运用PDCA循环法对患者进行护理。采用国际认证的Zung焦虑自评量表于术后第3天及出院后拔管前1d进行焦虑评分，采用科室医护人员设计的《留置T管患者满意度调查表》进行满意度评价。比较两组患者的焦虑及满意度情况。结果实验组和对照组术后第3天评分分别为（46.25±9.49）、（51.08±10.66）分，组间比较，差异无统计学意义（P=0.069）；拔管前1 d评分分别为（41.58±7.95）、（47.83±6.92）分，组间比较，差异有高度统计学意义（P=0.002）。实验组患者拔管前1 d焦虑程度评分明显低于术后第3天，差异有统计学意义（P=0.043）；对照组患者拔管前1 d焦虑程度评分稍低于术后第3天，差异无统计学意义（P＝0.167）。实验组拔管前1 d满意度为96.67豫，对照组满意度为80.00豫，实验组满意度高于对照组，差异有统计学意义（P=0.049）。结论采用PDCA循环管理模式可减轻患者的焦虑情绪，提高患者满意度。

Objective To explore the PDCA cycle management model for improving the role of patients’anxiety in pa-tients with T tube drainage. Methods 60 cases with T tube drainage were randomly divided into experimental group （from September 2013 to March 2014, using conventional care method ＋ applying PCDA cycle management） and con-trol group （from March to August 2013, using conventional care method）. The anxiety score was adopted by Zung self-rating anxiety scale in the third day after surgery and the day before removing tube. The satisfaction was evaluated by the indwelling T tube patients’satisfaction questionnaire designed by medical staff. The anxiety situation and satisfac-tion in two groups were compared. Results The scores were （46.25±9.49） scores and （51.08±10.66） scores in experi-mental group and control group in the third day after surgery, there was no statistically significant difference （P =0.069）. The scores were （41.58±7.95） scores and （47.83±6.92） scores in experimental group and control group in the day before removing tube, there was statistically significant difference （P= 0.002）. In experimental group, the anxiety score in the day before removing tube was significantly lower than in third day after surgery, there was statistically significant difference （P=0.043）. In control group, the anxiety score in the day before removing tube was a little bit lower than in third day after surgery, there was no statistically significant difference （P=0.167）. The satisfaction were 96.67%and 80.00%in experimental group and control group in the day before removing tube, there was statistically significant difference （P=0.049）. Conclusion PDCA cycle management model can reduce patients’anxiety and improve patients’satisfaction.