PDCA循环式护理模式在腹腔镜胃穿孔修补术中的应用效果

Application effect of PDCA circulation nursing mode in laparoscopic repair of gastric perforation

目的:评价PDCA循环式护理模式在腹腔镜胃穿孔修补术中的应用效果,为临床护师选择合理护理方案提供参考。方法:选取2018年1月1日至2019年12月31日在康平县人民医院接受腹腔镜胃穿孔修补术的70例患者为研究对象,将患者按入院时间奇偶性进行编号,依据随机数字表法,随机将其分为两组——A组与B组(每组35例)。B组患者接受常规外科护理措施,A组采用PDCA循环式护理模式,对比两组患者的术后恢复效果、营养状态及并发症发生率。结果:A组的术后排气时间、肠鸣音恢复时间、住院时间均短于B组,差异有统计学意义(P<0.05);A组的营养指标水平均高于B组,差异有统计学意义(P<0.05);A组的并发症发生率低于B组,差异有统计学意义(P<0.05)。结论:在腹腔镜胃穿孔修补术中,应用PDCA循环式护理模式,护理效果显著,值得临床借鉴。

Objective:To evaluate the application effect of PDCA circulation nursing mode in laparoscopic repair of gastric perforation,so as to provide reference for clinical nurses to choose reasonable nursing regimen.Methods:A total of 70 patients who underwent laparoscopic repair of gastric perforation in Kangping People's Hospital from January 1,2018 to December 31,2019 were selected as the research objects,and the patients were numbered according to the parity of admission time,according to the random number table method,they were randomly divided into two groups-group A and group B(35 cases in each group).Group B received routine surgical nursing measures,group A adopted PDCA circulation nursing mode.The postoperative recovery effect,nutritional status and incidence of complications were compared between the two groups.Results:The postoperative exhaust time,recovery time of bowel sounds and hospitalization time in group A were shorter than those in group B,the difference was statistically significant(P<0.05);the nutritional indexes in group A were higher than those in group B,the difference was statistically significant(P<0.05);the incidence of complications in group A was lower than that in group B(P<0.05).Conclusion:In laparoscopic repair of gastric perforation,the clinical nursing effect of PDCA circulation nursing mode is significant,which is worthy of clinical reference.