Plan-Do-Check-Act模式联合舒适化护理对肝硬化并腹水患者的影响

Effects of Plan-Do-Check-Act Model Combined with Comfort Care on Patients with Liver Cirrhosis and Ascites

目的:探讨Plan-Do-Check-Act(PDCA)模式联合舒适化护理对肝硬化并腹水患者心理状态、并发症及生存质量的影响.方法:选取2021年8月至2023年3月本院收治的104例肝硬化并腹水患者作为研究对象.根据护理方案,将其分为实验组(n=54,给予PDCA模式联合舒适化护理)和对照组(n=50,给予舒适化护理).比较两组患者汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、世界卫生组织生存质量测定量表简表(WHOQOL-Bref)评分及并发症发生率.结果:干预后,实验组患者HAMA、HAMD评分低于对照组,WHOQOL-Bref量表各方面评分高于对照组,差异均有统计学意义(P<0.05);实验组并发症总发生率低于对照组,差异具有统计学意义(P<0.05).结论:PDCA模式联合舒适化护理干预可改善肝硬化并腹水患者心理状态,降低并发症发生率,提高生存质量.

Objective:To explore the effects of Plan-Do-Check-Act(PDCA)model combined with comfort care on the psychological status,complications and survival quality of patients with liver cirrhosis and ascites.Methods:A total of 104 patients with cirrhosis and ascites treated in our hospital from August 2021 to March 2023 were selected in this study.According to the intervention methods,they were divided into experimental group(n=54,received PDCA mode combined comfort nursing)and control group(n=50,received comfort nursing).The scores of Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),WHO quality of life-BREF(WHOQOL-Bref)and complication rate were compared between the two groups.Results:After intervention,HAMA and HAMD scores of experimental groups were lower than those of control group,while the scores of WHOQOL-Bref scale were higher than those in control group,and the differences were statistically significant(P<0.05).The total complication rate of experimental group was lower than that of control group,the difference was statistically significant(P<0.05).Conclusion:PDCA combined with comfort nursing can improve psychological state and life quality of patients with cirrhosis and ascites and reduce the incidence of complications for those patients.