PDCA护理对住院骨折患者负性情绪的影响

Effect of PDCA nursing on the negative emotion of inpatients with fracture

目的研究PDCA护理对住院骨折患者负性情绪的影响。方法选择2013年12月至2016年2月在我院收治的126例住院骨折患者,按随机数表法将患者分为对照组和研究组,每组各63例。对照组病人实施骨科常规护理,研究组患者在对照组常规护理的基础上对整个过程进行PDCA护理。护理前后对两组患者的焦虑抑郁状况、健康促进生活方式及护理的满意度进行对比。结果护理前研究组与对照组的焦虑自评量表(SAS)、抑郁自评量表(SDS)得分没有显著差异(P>0.05),护理后与对照组SAS和SDS评分相比较,研究组得分明显较低(P<0.05);术后1h两组患者VAS评分无明显差异,不具有统计学意义(P>0.05),而术后24、48、72h与对照组相比较,研究组VAS评分均明显较低(P<0.05);与护理前相对比,两组护理后的健康促进生活方式评分均有明显升高(P<0.05),护理后与对照组病人相对比,研究组评分显著较高(P<0.05);研究组患者护理总的满意度(82.5%)明显高于对照组总满意度(65.1%)(P<0.05)。结论 PDCA护理能够使住院骨折患者焦虑、抑郁等负性情绪得到明显改善,使患者的生活质量得到明显提高,同时能够使住院骨折患者的疼痛感得到有效减轻,促进患者康复,并且可以使患者对护理的满意度得到提高。

Objective To study the effect of PDCA nursing on the negative emotion of inpatients with fracture. Methods 126 cases of patients with fracture in our hospital from December 2013 to February 2016 were randomly divided into the study group and the control group, with 63 cases in each group. Patients in the control group were given routine nursing care. The patients in the study group were treated with PDCA cycle management on the basis of routine nursing of the control group. The anxiety and depression status of the two groups before and after nursing, health promoting lifestyle and nursing satisfaction rate were compared. Results There was no significant differences of SAS and SDS scores between the two groups before intervention （ P 〉 0.05 ） . After nursing intervention compared with control group, SAS and SDS scores of the study group showed significantly lower scores （P〈0.05）; postoperative 1H VAS score of the two groups had no obvious difference （ P〉0.05 ） . And after 24h, 48h and 72h after nursing care compared with the control group, the study group VAS scores were significantly lower （P〈0.05）; compared with before intervention, after nursing both the two groups health promoting lifestyle scores were significantly increased （P 〈 0.05 ）, and c the research group scores were significantly higher than those of the control group （ P〈0.05 ）; the nursing satisfaction rate of patients in the study group （ 82.5 % ） was significantly higher than that of the control group （ 65.1% ） （P 〈 0.05 ）. Conclusion Hospitalized fracture patients with anxiety, depression and other negative emotions treated with PDCA nursing are significantly improved as well as the quality of life of the patients. PDCA nursing can also be more effectively to reduce the pain of the patients andpromote the rehabilitation of patients, and make the patient to nursing satisfaction improved.