PDCA循环管理在提高脑卒中护理质量中的应用

Application of PDCA cycle management in improvement of nursing quality of patients with stroke

目的探讨PDCA循环管理法在提高脑卒中患者护理质量中的应用。方法选取100例脑卒中患者,随机分为实验组和对照组各50例,对照组采用常规护理,实验组在常规护理的基础上采用PDCA循环法管理,对比分析2组患者临床疗效、依从性以及满意度。结果实验组在康复训练、生活作息、严格服药、出院复诊随访各项评分及总评分均优于对照组,差异有统计学意义(P<0.05);经不同方法支持护理后,2组患者脑卒中病情均有所改善,实验组临床研究总有效率为94%,对照组患者总有效率为80%,比较差异有统计学意义(P<0.05)。实验组患者临床总满意率为95.3%,对照组为83.4%,差异有统计学意义(P<0.05)。结论应用PDCA循环管理法干预脑卒中患者护理,质量提高效果显著,能有效改善患者疾病症状,提高患者依从性和满意度,优于常规护理模式,有较好的临床应用价值。

Objective To explore the clinical application of PDCA cycle management in improvement of nursing quality of patients with stroke. Methods A total of 100 patients with stroke in our hospital were randomly divided into experimental group（ n = 50） and control group（ n = 50）,given ordinary nursing intervention and PDCA cycle management nursing,respectively. Clinical efficacy,complication and satisfaction between two groups were observed and compared. Results Experimental group had higher scores in rehabilitation training,life pattern,strictly administration,discharge follow-up and the total scores than the control group（ P〈 0. 05）. After nursing,the symptoms patients of two groups were improved,the total response rate in experimental group was 94% and80% in the control group,which showed a significant difference in two groups（ P〈 0. 05）. The satisfaction in experimental group was 95. 3%,and 83. 4% in the control group,with a significant difference（ P〈 0. 05）. Conclusion The PDCA cycle management applied in stroke patients reveals significant clinical effect,and it can promote the compliance and satisfaction,and is better than ordinary nursing,and it is worthy of clinical application.