PDCA循环管理模式在房颤患者心理护理中的应用

Application of PDCA Cycle Management Model in the Psychological Care of Patients with Atrial Fibrillation

目的:探讨PDCA循环管理模式在房颤患者心理护理中的应用价值。方法:选取2021年1月至2021年12月在我科住院的100例房颤患者为研究对象,经过纳排,随机分为对照组和实验组,两组各50例患者,两组患者均在三维标测系统指导下经导管环肺静脉射频消融术治疗,对照组患者给予常规护理,实验组患者给予常规护理外还增加了PDCA循环管理模式的心理护理,通过对比两组患者的负性情绪、生活质量、对护理的满意度以及房颤术后1年内的再复发率,比较两组患者的护理效果,探讨PDCA循环管理模式在房颤患者心理护理中的应用价值。结果:实验组患者的负性情绪状态和生活质量的改善明显优于对照组,差异有统计学意义,实验组患者对护理满意度明显高于对照组,差异有统计学意义,实验组患者房颤术后1年内再复发率明显降低。结论:PDCA循环管理的心理护理模式能有效改善房颤患者的负性情绪,提高患者的生活质量,提高患者对护理的满意度,减少房颤术后1年内再复发率,值得临床护理推广、应用。

Objective: To investigate the application value of PDCA cycle management model in the psychologi-cal care of patients with atrial fibrillation (AF). Methods: 100 AF patients hospitalized in our de-partment from January 2021 to December 2021 were selected as the study subjects, after the pla-toon, they are randomized into control group and experimental group, and 50 patients in each of the two groups, both groups were treated with transcatheter RFA under the guidance of a three-dimensional mapping system, patients in the control group were given usual care, in the ex-perimental group, psychological care with PDCA cycle management model was added. By comparing the negative mood, quality of life, satisfaction with care and the recurrence rate within 1 year after AF surgery, the effectiveness of nursing care between the two groups is compared, the application value of PDCA circulation management model in the psychological care of patients with atrial fibril-lation is explored. Results: The improvement of negative emotional state and quality of life in the experimental group was significantly better than that of the control group, and the difference was statistically significant. The nursing satisfaction of the experimental group was significantly higher than that of the control group, the difference was statistically significant. The recurrence rate of atrial fibrillation in the experimental group was significantly reduced within 1 year after surgery. Conclusion: The psychological nursing model of PDCA cycle management can effectively improve the negative mood of patients with atrial fibrillation, improve their quality of life, improve patients’ satisfaction of care, and reduce the recurrence rate of atrial fibrillation within 1 year. It’s worthy of the promotion and application of clinical nursing.