PDCA循环护理模式对伴有焦虑抑郁状态的老年胃食管反流病患者的临床应用

Clinical effects of PDCA cycle-based nursing care in elderly gastroesophageal reflux disease patients with anxiety and depression

目的PDCA循环护理模式对伴有焦虑抑郁状态的老年胃食管反流病(gastroesophageal reflux disease,GERD)患者的临床应用.方法选取伴有焦虑抑郁状态GERD患者72例,随机分为对照组和观察组各36例,对照组行常规护理,观察组在对照组基础上应用PDCA护理模式,观察2组生活质量评分、临床症状评分、焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分及依从性.结果护理后2组SAS、SDS评分均明显降低,差异有统计学意义(P<0.05);且观察组SAS、SDS评分明显低于对照组(P<0.05).与护理前比较,2组患者临床症状评分组内比较,差异有统计学意义(P<0.05);且护理后观察组临床症状改善明显优于对照组(P<0.05).与护理前比较,2组患者生活质量评分均升高,(P<0.05);且护理后观察组评分明显优于对照组(P<0.05).与对照组比较,观察组患者依从性明显提高(P<0.05).结论应用PDCA护理模式能提高伴有焦虑抑郁状态的GERD患者的生活质量,进一步改善临床症状,降低焦虑抑郁心理状态和提高其依从性.

AIM To observe the clinical effects of PDCA cyclebased nursing care in elderly gastroesophageal reflux disease（GERD） patients with anxiety and depression.METHODS Seventy-two GERD patients with anxiety and depression were selected and randomly divided into a control group and an observation group,with 36 cases in each group.Both groups received routine nursing care,and the observation group was additionally given PDCA cycle-based nursing care.The quality of life score,clinical symptom scores,self-rating anxiety scale（SAS） and selfrating depression scale（SDS） scores and compliance were compared between the two groups.RESULTS SAS and SDS scores were significantly lower in both groups after nursing than before nursing（P〈0.05）,and SAS and SDS scores were significantly lower in the observation group than the control group（P〈0.05）.Clinical symptoms and quality of life scores were significantly improved in both groups after nursing（P〈0.05）,and the improvement was more significant in the observation group（P〈0.05）.Compared with the control group,patient compliance was significantly better in the observation group（P〈0.05）.CONCLUSION PDCA cycle-based nursing care can improve clinical symptoms,reduce anxiety and depression,and improve patient compliance in elderly GERD patients with anxiety and depression.