PDCA护理模式应用于腹腔镜胃穿孔修补术中的临床效果观察

Clinical Effect of PDCA Nursing Model in Laparoscopic Repair of Gastric Perforation

目的探讨PDCA护理模式应用于腹腔镜胃穿孔修补术中的效果。方法选择2015年12月～2017年12月在我院进行腹腔镜胃穿孔修补术的患者40例,分为观察组与对照组各20例。对照组采用常规护理,观察组采用PDCA护理模式进行护理,比较两组住院时间、排气时间及肠鸣音恢复时间、并发症发生情况,并采用VAS疼痛评分评价术后疼痛情况。结果观察组护理后平均排气、肠鸣音恢复、住院时间及并发症发生率分别为(23.65±1.97)h、(22.18±2.13)h、(6.05±1.43)d、15.00%,均低于对照组的(29.71±2.28)h、(28.65±2.09)h、(8.73±1.82)d、40.00%,差异有统计学意义(P<0.05);观察组术后1 d和3 d的VAS评分为(4.97±0.94)分、(3.85±0.72)分均低于对照组(6.83±1.30)分、(5.81±0.86)分,差异有统计学意义(P<0.05)。结论行腹腔镜胃穿孔修补术治疗的胃穿孔患者实施PDCA护理模式,能够有效降低痛感,减少围术期不良事件的发生,促进患者康复。

Objective To investigate the effect of PDCA nursing mode in laparoscopic gastric perforation repair.Methods 40patients undergoing laparoscopic gastric perforation repair from December2015to December2017in our hospital were divided into observation group(n=20)and control group(n=20).Routine nursing was used in the control group and PDCA nursing model was used in the observation group.The hospitalization time,exhaust time,recovery time of bowel sound and complications were compared between the two groups.The postoperative pain was evaluated by VAS pain score.Results In the observation group,the average exhaust,bowel sound recovery,hospitalization time and incidence of complications were(23.65±1.97)h,(22.18±2.13)h,(6.05±1.43)d,15.00%,respectively,all of them were significantly lower than those of the control group(29.71±2.28)h,(28.65±2.09)h,(8.73±1.82)d,40.00%,the difference was statistically significant(P<005).The VAS scores of the observation group at1and3d after operation were(4.97±0.94)and(3.85±0.72),which were lower than those in the control group(6.83±1.30)and(5.81±0.86),the difference was statistically significant(P<0.05).Conclusion The implementation of PDCA nursing mode in patients with gastric perforation treated with laparoscopic gastric perforation can effectively reduce the pain,reduce the occurrence of perioperative adverse events,and promote the recovery of patients.