PDCA循环法在改善急诊留观患者睡眠障碍中的应用效果分析

Analysis of the Application Effect of PDCA Cycle Method in Improving Sleep Disorders in Emergency Patients

目的:分析PDCA循环法(Plan,Do,Check,Action,PDCA)在改善急诊留观患者睡眠障碍中的应用。方法:选取2019年2月至2020年10月蚌埠市第三人民医院收治的急诊留观患者200例作为研究对象,根据护理管理方法的不同分为观察组与对照组,每组100例。对照组采用常规管理方法进行管理,观察组采取PDCA循环管理方法进行管理,比较2组患者睡眠障碍发生率的差异情况,并比较2组患者护理前后汉密尔顿焦虑量表(Hamilton Anxiely Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Rating Scale;HAMD)评分的变化。结果:观察组患者睡眠障碍发生率明显低于对照组,差异有统计学意义(P<0.05);2组护理前HAMA评分和HDMA评分的比较差异无统计学意义(均P>0.05),观察组患者护理后HAMA评分和HDMA评分明显低于对照组患者,差异有统计学意义(均P<0.05)。结论:PDCA循环法有助于改善急诊留观患者的焦虑抑郁情绪,从而降低患者睡眠障碍的发生率,值得推广应用。

Objective:To analyze the application of Plan,Do,Check,Action(PDCA)cycle method in improving the sleep disorders in emergency patients.Methods:A total of 200 cases of emergency observation patients admitted to The Third People′s Hospital of Bengbu from February 2019 to October 2020 were selected as the research objects and divided into observation group and control group according to different nursing management methods,with 100 cases in each group.The control group was administrated by conventional management method,and the observation group was administrated by PDCA cycle management method.The incidence of sleep disorders in the two groups was compared,and the scores of Hamilton Anxiely Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)before and after nursing care were compared between the two groups.Results:The incidence of sleep disorder in observation group was significantly lower than control group;the difference was statistically significant(P<0.05).There was no significant difference in HAMA score and HDMA score between the two groups before nursing(Ps>0.05),but HAMA score and HDMA score in the observation group were significantly lower than those in the control group after nursing,with statistical significance(Ps<0.05).Conclusion:PDCA cycle is helpful to improve anxiety and depression in emergency patients,thus reducing the incidence of sleep disorders,and is worthy of popularization and application.