PDCA与延续性护理相结合对急性心梗PCI围术期患者心理及自我管理能力的影响

The effect of PDCA combined with continuity of care on the psychological and self-management skills of patients in the perioperative period of PCI for acute heart attack

目的:探讨PDCA与延续性护理相结合对急性心梗PCI围术期患者心理及自我管理能力的影响。方法:选取本院2020-03~2022-03收治的62例急性心梗PCI患者作为研究对象,按术后护理方式的不同将其分为对照组和观察组,各31例。两组均进行常规基础护理干预,对照组采用延续性护理干预,观察组在对照组基础上采用PDCA循环护理模式。护理周期均为3个月。比较两组患者干预前后的心理状态、自我管理能力及干预后护理满意度、并发症情况。结果:干预后两组SAS评分、SDS评分均降低,观察组较对照组低;各项自我管理能力均升高,观察组较对照组高;干预后观察组护理满意度高于对照组、并发症发生率低于对照组(P<0.05)。结论:PDCA与延续性护理相结合可有效改善急性心梗PCI围术期患者不良心理状态,加强自我管理能力,提高生活质量。

Objective:To investigate the impact of PDCA combined with continuity of care on the psychological and self-management skills of patients in the perioperative period of PCI for acute heart attack.Methods:Sixty-two patients with acute heart attack PCI admitted to our hospital from March 2020 to March 2022 were selected as the subjects of this study,and they were divided into the control group and the observation group according to the different postoperative care modes,with 31 cases each.Both groups underwent conventional basic nursing interventions,the control group used the continuity of care nursing intervention,and the observation group used the PDCA cycle nursing model on the basis of the control group.The nursing cycle was 3 months in both groups.The psychological status,self-management ability and post-intervention nursing satisfaction and complications of the patients in the two groups were compared before and after the intervention.Results:After the intervention,SAS and SDS scores decreased in both groups,with the observation group having lower scores than the control group;all self-management skills increased,with the observation group having higher scores than the control group;after the intervention,the observation group had higher satisfaction with care than the control group and lower complication rates than the control group(P<0.05).Conclusion:The combination of PDCA and continuity of care can effectively improve the poor psychological status of patients in the perioperative period of acute heart attack PCI,strengthen self-management ability and improve the quality of life,which is worth further study and promotion.