戴明循环管理在腹腔镜胆囊切除术患者舒适护理中的应用价值

The Application Value of PDCA Circulation Management in Comfort Nursing for Patients with Laparoscopic Cholecystectomy

目的探讨戴明循环(PDCA)管理在腹腔镜胆囊切除术患者舒适护理中的应用价值。方法选取2014年4月至2015年4月内江市第六人民医院收治的92例行腹腔镜胆囊切除术患者为研究对象,按随机数字表法将其分为观察组与对照组,各46例。对照组患者给予常规舒适护理,观察组患者在对照组基础上实施PDCA管理,比较两组患者的护理舒适度、焦虑与抑郁改善情况。结果护理干预后,观察组患者的高度舒适率明显高于对照组,差异有统计学意义(P<0.05);干预后,观察组患者的焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均明显低于对照组,差异均有统计学意义(均P<0.05)。结论 PDCA管理能够有效提高腹腔镜胆囊切除术患者的舒适度,并改善其心理状态。

Objective To explore the application value of PDCA circulation management in comfort nursing for patients with laparoscopic cholecystectomy.Methods From April 2014 to April 2015,92 cases of laparoscopic cholecystectomy were randomly divided into observation group and control group,each of 46 cases.The control group received routine comfort care,the observation group were treated with PDCA on the control group,the comfort,anxiety and depression in the two groups were compared.Results After nursing intervention,the level of comfort in the observation group was significantly higher than that in the control group,the difference was statistically significant（P〈0.05）; the anxiety self rating scale（SAS） and self rating Depression Scale（SDS） score of the observation group were significantly lower than those in the control group（P〈0.05）.Conclusion PDCA circulation management can effectively improve the comfort of patients with laparoscopic cholecystectomy,and improve their mental state.