基于FOCUS-PDCA程序的护理管理模式在重型颅脑损伤患者中的应用

目的分析基于发现-组织-澄清-理解-选择-计划-实施-检查-处理程序护理管理(FOCUS-PDCA)程序的护理管理模式在重型颅脑损伤患者中的应用效果.方法以本院2018年2月至2019年8月收治的90例重型颅脑损伤患者为对象,按电脑数字表法随机分为两组,对照组45例予以常规护理管理,观察组45例予以基于FOCUS-PDCA程序的护理管理模式,比较两组的并发症发生情况、生存质量及满意度.结果观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组颅脑损伤患者生活质量量表(QOLIBRI)中的人际关系、总体感觉、独立性、思考能力、情绪及自我评价维度评分比对照组高,而脑损伤困扰程度、消极感觉、身体限制与状况维度评分比对照组低,差异有统计学意义(P<0.05);观察组患者满意度为93.33%,比对照组的77.78%高,差异有统计学意义(P<0.05).结论基于FOCUS-PDCA程序的护理管理模式在重型颅脑损伤患者中的应用效果显著,有助于防止并发症,提升患者生存质量及满意度.

Objective To analyze the effect of nursing management model based on FOCUS-PDCA program in patients with severe traumatic brain injury.Methods 90 cases of patients with severe traumatic brain injury treated in our hospital from February 2018 to August 2019 were selected as the objects,and they were divided into two groups according to computer digital meter methods,45 cases in the control group were received routine nursing management,45 cases in the experimental group were given nursing management mode based on FOCUS-PDCA program.The occurrence of complications,quality of life and sarisfaction of the parients were compared between the two groups.Results After nursing,the incidence of complications in the experimental group was lower than that in the control group,with statistically significant(P<0.05).The scores of interpersonal relationship,overall feeling,independence,thinking ability,emotion and self-evaluation in the QOLIBRI table of the experimental group were higher than those of the control group,while the brain injury distress,negative sensation,physical lintitarion and condition dimensions scores were lower than those in the control group,with statistically significant(P<0.05).The satisfaction rate of patients in the experimental group was 93.33%,which was higher than 77.78%in the control group,with statistically significant(P<0.05).Conclusion The application of nursing management mode based on FOCUS-PDCA program in patients with severe traumatic brain injury has significant effects,can help to prevent complications,as well as improve the quality of life and sarisfaction.