PDCA护理对心肌梗死患者心理状态和生活质量的影响

Influence of PDCA nursing on mental state and quality of life in patients with myocardial infarction

目的:探讨"计划-实施-检查-行动"(plan-do-check-act,PDCA)循环护理对心肌梗死患者住院期间心理状态和生活质量的影响。方法:选择我院收治的90例急性心肌梗死患者,按照护理方式分为PDCA护理组(45例)和普通护理组(45例),比较两组患者住院期间的心理状态和生活质量情况。结果:与护理前和普通护理组护理后比较,PDCA护理组护理后焦虑自评量表[(60.31±4.56)分、(56.45±4.46)分比(35.64±5.43)分]和抑郁自评量表[(67.41±4.56)分、(59.35±4.32)分比(32.54±4.23)分]评分均明显降低(P均<0.01);与普通护理组相比,PDCA护理组干预后患者住院期间每天心绞痛发作次数[(3.09±1.10)次/d比(1.24±0.39)次/d]显著减少,生活质量六项评分和总分[(53.75±15.34)分比(71.17±24.3)分]均明显增加,满意度明显提高(86.7%比97.8%),P<0.05或<0.01。结论:PDCA护理能够改善心肌梗死患者住院期间的心理状态和生活质量。

Objective：To explore influence of plan-do-check-act cycle （PDCA）nursing on mental state and quality of life （QOL）in patients with myocardial infarction during hospitalization.Methods：A total of 90 patients with acute myocardial infarction treated in our hospital were selected.According to nursing method,they were divided into PDCA nursing group （n=45）and routine nursing group （n=45）.Mental state and QOL during hospitalization were compared between two groups.Results：Compared with before nursing and routine nursing group after nursing,after nursing,there were significant reductions in scores of self-rating anxiety scale [（60.31 ±4.56）scores,（56.45 ± 4.46）scores vs.（35.64±5.43）scores]and self-rating depression sale [（67.41±4.56）scores,（59.35±4.32）scores vs.（32.54±4.23）scores]in PDCA nursing group,P 〈0.01 all;compared with routine nursing group after nurs-ing,there was significant reduction in onset times of angina pectoris per day [（3.09±1.10）times/d vs. （1.24± 0.39）times/d]during hospitalization,significant rise in six dimension scores and total score of QOL [（53.75 ± 15.34）scores vs.（71.17±24.3）scores],and satisfaction （86.7% vs.97.8%）in PDCA nursing group,P 〈0.05 or〈0.01. Conclusion：PDCA nursing can improve mental state and quality of life in patients with myocardial infarc-tion during hospitalization.