精细化管理联合PDCA持续质量改进在肥胖型多囊卵巢综合征患者中的应用效果

Efficacy of Refined Management Combined with PDCA Continuous Quality Improvement in Patients with Obese Polycystic Ovary Syndrome

目的:探讨精细化管理联合PDCA持续质量改进在肥胖型多囊卵巢综合征患者中的应用效果。方法:选择2018年4-10月在笔者所在医院生殖中心门诊就诊的80例肥胖型多囊卵巢综合征患者作为研究对象,采用数字表法将其随机分成对照组和管理组,各40例,对照组采用常规宣教随访,研究组采用精细化管理联合PDCA持续质量改进干预,比较两组管理前后体质指数、管理后月经周期及焦虑情绪。结果:管理前两组体质指数比较差异无统计学意义(P>0.05),管理后,管理组体质指数低于对照组,差异有统计学意义(P<0.05);管理后,管理组焦虑评分低于对照组,月经周期短于对照组,差异均有统计学意义(P<0.05)。结论:采用精细化管理联合PDCA持续质量改进可有效降低肥胖型多囊卵巢综合征患者的体质量,还能改善月经周期,缓解不良情绪。

Objective:To explore the effect of refined management combined with PDCA continuous quality improvement in obese patients with polycystic ovary syndrome.Method:From April to October 2018,80 patients with obese polycystic ovary syndrome (PCOS) were selected as the study object.They were randomly divided into the control group and the management group,with 40 cases in each group.The control group was followed up with routine propaganda and education,and the management group was treated with refined management and PDCA continuous quality improvement intervention.The body mass index,menstrual cycle and anxiety were compared between the two groups before and after management.Result:There was no significant difference in body mass index between the two groups before management (P>0.05),after management,body mass index in the management group was lower than that in the control group,the difference was statistically significant (P<0.05).After management,anxiety score in the management group was lower than that in the control group,menstrual cycle was shorter than that in the control group,the differences were statistically significant (P<0.05).Conclusion:Refined management combined with PDCA continuous quality improvement can effectively reduce the body weight of patients with obese polycystic ovary syndrome,improve the abnormal menstrual cycle and relieve the bad mood.