PDCA理论下医护合作模式在内镜治疗胃肠息肉患者中的应用价值

Application Value of Medical-Nursing Cooperation Model Based on PDCA Theory in Gastrointestinal Polyp Patients Treated by Gastroscope

目的 探讨基于“计划-实施-检查-处理”(PDCA)理论下医护合作模式对消化内镜治疗的胃肠息肉患者的影响。方法 选取2021年10—12月在郑州大学第二附属医院就诊的消化内镜下治疗的128例胃肠息肉患者,按照入院顺序分为常规组(64例)和研究组(64例)。常规组接受常规护理干预,研究组在常规组基础上接受基于PDCA理论下医护合作模式的护理方案。比较两组康复指标、焦虑情绪[焦虑自评量表(SAS)]、抑郁情绪[抑郁自评量表(SDS)]、疼痛感[视觉模拟量表(VAS)]、并发症情况、遵医行为。结果 与常规组比较,研究组术后下床时间、排便时间、进食时间、住院时间较短(P<0.05);与干预前比较,两组SAS、SDS、VAS评分均降低,干预后研究组SAS、SDS、VAS评分较常规组低(P<0.05);研究组并发症发生率低于常规组,遵医率高于常规组(P<0.05)。结论 基于PDCA理论下医护合作模式可改善消化内镜下治疗的胃肠息肉患者的负性情绪,缓解其术后疼痛,提升遵医行为,还可降低并发症发生率,促进术后康复。

Objective To investigate the effect of the medical-nursing cooperation model based on the“plan-implement-check-action”(PDCA)theory on patients with gastrointestinal polyps treated by digestive endoscopy.Methods A total of 128 patients with gastrointestinal polyps who were treated in the Second Affiliated Hospital of Zhengzhou University from October to December 2021 were selected and divided into routine group(64 cases)and study group(64 cases)according to the order of admission.The routine group received routine nursing intervention,and the study group implemented the nursing program based on the medical-nursing cooperation model under the PDCA theory on the basis of the routine group.The rehabilitation indicators,anxiety[self-rating anxiety scale(SAS)],depression[self-rating depression scale(SDS)],emotion,pain[visual analog scale(VAS)],complications and medical compliance behavior between the two groups were compared.Results Compared with the routine group,the study group had shorter time to get out of bed,defecation time,exhaust time,eating time and hospital stay after operation(P<0.05).Compared with before intervention,the scores of SAS,SDS and VAS were decreased in both groups,and after intervention,the SAS,SDS,and VAS scores of the research group were lower than those of the routine group(P<0.05).The incidence of complications in the research group was lower than that of the routine group,and the compliance rate was higher than that of the routine group.(P<0.05).Conclusion The doctor-nurse cooperation model based on PDCA theory can improve the negative emotions of patients with gastrointestinal polyps treated by digestive endoscopy,relieve postoperative pain,improve medical compliance behavior,reduce the incidence of complications,and promote postoperative recovery.