基于循证医学的PDCA循环管理干预对发热门诊患者的影响

Effects of Evidence-based Medicine Based PDCA Cycle Management Intervention on Fever Outpatient Patients

目的探讨基于循证医学的PDCA循环管理干预对发热门诊患者心理应激及治疗依从性的影响。方法选取河南省人民医院2021年7月至2022年6月收治的95例发热门诊患者,采用随机信封法分为对照组(47例)、观察组(48例),对照组予以常规护理干预,观察组在此基础上予以基于循证医学的PDCA循环管理干预。比较两组干预前后心理应激[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、治疗依从性、应对方式[特质应对方式调查量表(TCSQ)]及护理满意度。结果解除留观前1 h观察组HAMA、HAMD评分均低于对照组;观察组治疗依从率(91.67%)高于对照组(76.60%);观察组解除留观前1 h积极应对、消极应对评分改善程度高于对照组;观察组护理满意率(100.00%)高于对照组(87.23%),差异有统计学意义(P<0.05)。结论基于循证医学的PDCA循环管理干预能降低发热门诊患者心理应激反应,改善其应对方式,提高患者治疗依从性及护理满意度。

Objective To study the effects of evidence-based medicine based PDCA cycle management intervention on psychological stress and treatment compliance of outpatient patients with fever.Methods Ninety-five fever outpatients admitted to Henan Provincial People's Hospital between July 2021 and June 2022 were divided into a control group(47 cases)and an observation group(48 cases)using the randomized envelope method.The control group was given conventional nursing interventions,while the observation group was given evidence-based medicine based PDCA cycle management intervention based on this basis.Compare the psychological stress[Hamilton Anxiety Inventory(HAMA)and Hamilton Depression Inventory(HAMD)],treatment compliance,and coping styles[Trait Coping Style Questionnaire(TCSQ)]of the two groups before and after intervention,as well as compare the nursing satisfaction of the two groups.Results The HAMA and HAMD scores of the observation group were lower than those of the control group 1h before release from detention(P<0.05);the treatment compliance rate in the observation group(91.67%)was higher than that in the control group(76.60%);the improvement level of positive and negative coping scores in the observation group was higher than that in the control group one hour before the release of observation;(P<0.05);the nursing satisfaction rate of the observation group(100.00%)was higher than that of the control group 87.23%,with a statistically significant difference(P<0.05).Conclusion Evidence-based medicine based PDCA cycle management intervention can reduce the psychological stress response,improve the coping style,improve the treatment compliance and the nursing satisfaction rate of fever outpatient patients.