PDCA模式在小儿过敏性紫癜患儿饮食护理中的应用价值

The Application Value of PDCA Mode in Diet Nursing for Children with Allergic Purpura

目的:了解PDCA模式在小儿过敏性紫癜患儿饮食护理中的应用价值。方法:将笔者所在医院2018年6月-2019年9月收治的100例小儿过敏性紫癜患儿随机分组,常规护理模式组在患儿饮食护理中给予常规干预,PDCA护理模式组在患儿饮食护理中开展PDCA模式。比较两组护理满意度,小儿过敏性紫癜症状消失时间、饮食依从率、住院时间,护理前后患儿营养状况相关评估指标(ALB、HGB)、小儿过敏性紫癜症状积分,并发症发生率。结果:PDCA护理模式组护理满意度高于常规护理组,护理后PDCA护理模式组ALB、HGB及小儿过敏性紫癜症状积分均优于常规护理模式组,差异均有统计学意义(P<0.05)。PDCA护理模式组紫癜症状消失时间、住院时间均短于常规护理模式组,饮食依从率高于常规护理模式组,并发症发生率低于常规护理模式组,差异均有统计学意义(P<0.05)。结论:小儿过敏性紫癜患儿实施PDCA模式效果确切,可有效改善患者临床症状和遵医饮食行为,缩短住院时间,改善营养情况和提高家长满意度,值得推广和应用。

Objective:To understand the application value of PDCA mode in the diet care of children with allergic purpura.Method:A total of 100 children with allergic purpura in our hospital from June 2018 to September 2019 were randomly divided into two groups.The routine nursing mode group was given the routine intervention in the children’s diet nursing,and the PDCA nursing mode group carried out the PDCA mode in the children’s diet nursing.The the nursing satisfaction,the disappearance time of symptoms of pediatric henoch-schonlein purpura,the diet compliance rate,the hospitalization time,the related evaluation index of nutritional status of children(ALB,HGB),the score of symptoms of infantile Henoch-Schonlein before and after nursing,and the incidence of complications of the two groups were compared.Result:The nursing satisfaction of PDCA nursing mode group was higher than that of routine nursing group,the ALB,HGB and the scores of infantile Henoch-Schonlein purpura in PDCA nursing mode group after nursing were better than those in routine nursing mode group,the differences were statistically significant(P<0.05).The disappearance time and hospitalization time of symptoms of purpura in PDCA nursing mode group were shorter than those in conventional nursing mode group,the diet compliance rate was higher than that in conventional nursing mode group,and the incidence of complications was lower than that in conventional nursing mode group,the differences were statistically significant(P<0.05).Conclusion:The implementation of PDCA mode in children with allergic purpura is effective,which can effectively improve the clinical symptoms and compliance behavior of the patients,shorten the hospitalization time,improve the nutritional status and improve the level of satisfaction of the parents of the children.It is worthy of promotion and application.