PDCA循环管理模式在发育迟缓患儿中的应用效果

Application effect of PDCA circulation management model in children with developmental delay

目的探究PDCA循环管理模式在发育迟缓患儿中的应用效果。方法选取2016年1月~2019年1月大连市妇女儿童医疗中心儿科收治的100例发育迟缓患儿作为研究对象,采取随机数字表法将其分为对照组和观察组,每组各50例。对照组患儿采用常规临床干预,观察组患儿采用常规临床干预+PDCA循环管理模式干预。比较两组患儿干预后的效果、干预前后的患儿格赛尔发展量表(Gesell)评分、患儿心理健康评分、家属焦虑自评量表(SAS)评分、家属抑郁自评量表(SDS)评分、家属总满意率。结果观察组患儿的总有效率高于对照组,差异有统计学意义(P<0.05);干预前,两组患儿的Gesell评分、心理健康评分及患儿家属的SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后,两组患儿的Gesell评分及心理健康评分均高于干预前,患儿家属的SAS、SDS评分均低于干预前,差异有统计学意义(P<0.05);干预后,观察组患儿的Gesell评分及心理健康评分均高于对照组,患儿家属的SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);观察组患儿家属的总满意率高于对照组,差异有统计学意义(P<0.05)。结论PDCA循环管理模式可提升发育迟缓患儿的临床疗效,促进患儿康复,改善患儿心理状态及家属焦虑、抑郁心理,值得推广以及应用。

Objective To explore the application effect of PDCA circulation management model in children with developmental delay.Methods A total of 100 children with developmental delay admitted to Department of Pediatrics,Dalian Women and Children Medical Center from January 2016 to January 2019 were selected as the research subjects and divided into control group and observation group by random number table method,with 50 cases in each group.Children in the control group received routine clinical intervention.Children in the observation group received routine clinical intervention combined with PDCA cycle management model intervention.The intervention effect,the Gesell development scale(Gesell)score and the mental health score of the children,the relation self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score of family members before and after intervention,and total satisfaction rate of family members were compared.Results The total effectiveness rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no statistically significant differences in Gesell scores and mental health scores of the children,SAS and SDS scores of family members between the two groups(P>0.05).The Gesell scores and mental health scores of the children in the two groups after intervention were higher than those before intervention,the SAS and SDS scores of family members were lower than those before intervention,and the differences were statistically significant(P<0.05).After intervention,the Gesell score and mental health score in the observation group were higher than those of the control group,and the SAS and SDS scores of family members were lower than those of the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of family members in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The PDCA circulation management model can improve the clinical effect of children with developmental delay,and promote the rehabilitation of children with great mental state of children and improvement in relation′s anxiety and depression,which is worthy of promotion and application.