PDCA循环护理管理模式在伴有功能性消化不良脑梗死患者中的临床应用

Clinical application of PDCA cycle to nursing care of cerebral infarction patients with functional dyspepsia

目的观察PDCA循环护理管理模式对伴有功能性消化不良脑梗死患者的临床应用.方法选取伴有功能性消化不良脑梗死患者86例,按照就诊顺序编号,采用随机数字表分为对照组和观察组各43例,对照组给予常规护理,观察组在对照组基础上应用PDCA循环管理模式,观察2组患者焦虑、抑郁评分,消化系统症状评分,生活质量评分变化情况.结果入院时和入院2 wk时问卷有效回收率均为100%.护理后2组焦虑自评量表、抑郁自评量表评分均比护理前降低,差异有统计学意义(P<0.05);且观察组变化明显低于对照组(P<0.05).与护理前比较,2组消化系统症状评分均下降,差异有统计学意义(P<0.05);且护理干预后观察组明显低于对照组,差异有统计学意义(P<0.05).与护理前比较,2组生活质量评分均升高,差异有统计学意义(P<0.05);且护理干预后观察组升高明显于对照组,差异有统计学意义(P<0.05).结论应用PDCA循环护理管理模式能降低伴有功能性消化不良脑梗死患者的负面心理情绪,改善消化系统症状和提高患者生活质量.

AIM To assess the clinical application of PDCA cycle to nursing care of cerebral infarction patients with functional dyspepsia.METHODS Eighty-six cerebral infarction patients with functional dyspepsia were randomly divided into a control group and an observation group,with 43 cases in each group.Both groups were given routine nursing care,and the observation group was additionally given PDCA cycle based nursing care.Self-rating Anxiety Scale（SAS） and Self-rating Depression Scale（SDS）scores,digestive system symptom score,and quality of life score were compared between the two groups.RESULTS On admission and at 2 wk after admission,the return rates of questionnaires were both100%.After treatment,SAS and SDS scores were significantly improved in both groups（P〈0.05）,and the improvement was more significant in the observation group（P〈0.05）;digestive system symptom scores significantly decreased in both groups（P〈0.05）,and the decrease was more significant in the observation group（P〈0.05）;the quality of life score significantly increased in both groups（P〈0.05）,and the increase was more significant in the observation group（P〈0.05）.CONCLUSION Nursing care based on PDCA cycle can reduce the negative psychological mood of cerebral infarction patients with functional dyspepsia and improve the digestive system symptoms and quality of life.