PDCA循环管理预防脑卒中留置胃管患者非计划性拔管的效果观察

Effect of PDCA cycle management on prevention of unplanned extubation in stroke patients with indwelling gastric tube

目的探讨PDCA循环管理预防脑卒中留置胃管患者非计划性拔管的效果。方法选取我科室2017年1月至2018年1月收治的85例留置胃管脑卒中患者为研究对象,随机将其分为对照组42例和观察组43例,对照组患者接受常规胃管插管管理,观察组患者接受PDCA循环管理。比较两组患者非计划性拔管发生情况、自我护理能力评分及生活质量评分。结果观察组患者非计划性拔管发生率低于对照组(P <0. 05)。管理前两组患者自我概念、自护责任感、自我护理技能、健康知识评分比较差异无统计学意义(P> 0. 05);管理后两组患者胃管自我护理能力评分高于管理前,且观察组患者各项评分高于对照组(P <0. 05)。管理前两组患者生活质量评分比较差异无统计学意义(P> 0. 05);管理后两组患者生活质量评分较管理前高,且观察组患者各维度评分高于对照组(P <0. 05)。结论 PDCA循环管理预防脑卒中留置胃管患者非计划性拔管的效果较好,能显著降低非计划性拔管发生率,提高生活质量,值得临床推广应用。

Objective To investigate the effect of PDCA cycle management on prevention of unplanned extubation in stroke patients with indwelling gastric tube.Methods To select 85 cases of stroke patients with indwelling gastric tube who were admitted to our department from January 2017 to January 2018 as the study subjects,and they were divided into control group with 42 cases and observation group with 43 cases randomly.Patients in the control group received conventional gastric tube intubation management,while patients in the observation group received PDCA cycle management.The unplanned extubation,self-care ability scores,and quality of life scores of patients in the two groups were compared.Results The incidences of unplanned extubation of patients in the observation group were lower than that in the control group(P<0.05).There was no statistically significant difference in self-concept,self-care responsibility,self-care skills,and health knowledge scores between the two groups before the management(P>0.05).After the management,the scores of gastric tube self-care ability in the two groups were higher than that before the management,and the scores of each dimension of patients in the observation group were higher than that of the control group(P<0.05).There was no statistically significant difference in quality of life score between the two groups before the management(P>0.05).After the management,the quality of life scores of the two groups were higher than those before,and the scores of each dimension of patients in the observation group were higher than those of the control group(P<0.05).Conclusion PDCA cycle management is effective in preventing unplanned extubation in stroke patients with indwelling gastric tube.It can reduce the incidence of unplanned extubation significantly and improve the quality of life among patients,which was worthy of clinical promotion and application.