PDCA循环式护理在慢性乙型肝炎患者中的应用效果

Application effect of PDCA circulation nursing on improving the quality of life of patients with chronic hepatitis B

目的探讨PDCA循环式护理在提高慢性乙型肝炎(乙肝)患者生存质量的作用。方法选取2016年7月～2018年7月我院收治的104例乙肝患者作为研究对象,按照随机数字表法将其分为观察组和参照组,每组各52例。参照组接受常规临床护理,观察组则采用PDCA循环式护理干预。采用慢性肝病问卷量表(CLDQ)比较两组干预前后的生存质量改善情况,并使用调查问卷调查比较两组的护理满意度。结果干预前,两组的全身症状、焦虑、活动、乏力、腹部症状、情感功能等各项CLDQ指标评分比较,差异无统计学意义(P>0.05)。干预后,两组的各项CLDQ指标评分均有所提高,观察组各项CLDQ指标评分均高于参照组,差异有统计学意义(P<0.05)。观察组护理总满意度为92.31%,高于参照组的76.92%,差异有统计学意义(P<0.05)。结论乙肝患者应用PDCA循环模式护理干预,能提高其生存质量,有效提升护理满意度,值得临床推广应用。

Objective To explore the effect of PDCA circulatory nursing on improving the quality of life of patients with chronic hepatitis B. Methods From July 2016 to July 2018, 104 patients with chronic hepatitis B in our hospital were selected as an object of study. They were divided into the observation group and the reference group according to random number table method, 52 cases in each group. The patients in the reference group were received routine clinical nursing, while the patients in the observation group were treated with PDCA circulatory nursing intervention. The improvement of quality of life before and after intervention were compared between the two groups by (CLDQ) questionnaire scale of chronic liver disease, and the nursing satisfaction degree of the two groups was compared with the questionnaire survey. Results Before intervention, there was no significant difference in CLDQ scores between the two groups in terms of systemic symptoms, anxiety, activity, fatigue, abdominal symptoms and emotional function (P>0.05). After intervention, the CLDQ scores of the two groups were improved, while the CLDQ scores in the observation group were higher than those in the control group (P<0.05). The nursing satisfaction of the patients in the observation group was 92.31%, higher than that in the control group (76.92%), the difference was statistically significant (P<0.05). Conclusion The application of PDCA circulation mode in nursing intervention in patients with chronic hepatitis B can improve their quality of life and improve their nursing satisfaction effectively. It is worth popularizing and applying in clinic.