基于PDCA循环的护理干预对慢性乙型肝炎患者用药依从性及生存质量的影响

Effect of Nursing Intervention based on PDCA Cycle on Medication Compliance and Quality of Life of Patients with Chronic Hepatitis B

目的探究PDCA循环模式护理干预措施对慢性乙型肝炎患者用药依从性和生活质量的影响,为临床护师选择合理的护理方案提供参考。方法采用随机抽样法从本院2018年1月至2019年1月收治的慢性乙型肝炎患者中随机抽取80例,以入院的先后顺序分为对照组和观察组,每组40例。对照组患者给予常规护理,观察组患者给予PDCA循环模式护理干预,对比两组护理后的用药依从性、生活质量[SF-36简明健康状况量表(SF-36)]、症状改善情况[慢性肝病问卷(CLDQ)]及护理满意度。结果观察组患者护理后的用药依从性、SF-36各项目评分、CLDQ评分、护理满意度均高于对照组,组间差异均有统计学意义(P<0.05)。结论对慢性乙型肝炎患者采用PDCA循环模式护理干预有助于提高患者的用药依从性和生活质量,改善患者临床症状和护理满意度。

Objective To explore the effect of PDCA cycle mode nursing intervention on medication compliance and quality of life of patients with chronic hepatitis B,and to provide reference for clinical nurses to choose reasonable nursing regimen.Methods A total of 80 patients with chronic hepatitis B admitted to our hospital from January 2018 to January 2019 were randomly selected and divided into control group and observation group according to the order of admission,with 40 cases in each group.The control group was given routine nursing,the observation group was given PDCA cycle mode nursing intervention.The medication compliance,quality of life(the MOS item short from health survey,SF-36),symptom improvement(chronic liver disease questionnaire,CLDQ)and nursing satisfaction were compared between the two groups.Results The medication compliance,SF-36 score,CLDQ score and nursing satisfaction of the observation group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion PDCA cycle mode nursing intervention for patients with chronic hepatitis B is helpful to improve the medication compliance and quality of life of patients,and improve the clinical symptoms and nursing satisfaction of patients.