PDCA循环结合问题-措施-评价形式对系统性红斑狼疮患者随访的效果观察

The effect of problem-intervention-outcome health education guided by PDCA cycle in the followed-up training of patients with systemic lupus erythematosus

目的 探讨PDCA循环结合问题-措施-评价(PIO)形式随访管理用于系统性红斑狼疮患者随访的效果.方法 选择系统性红斑狼疮(SLE)患者76例,采用随机数字表法分为试验组和对照组各38例.试验组在常规随访的同时,应用PDCA循环结合PIO形式进行随访管理;对照组进行常规随访模式管理.结果 随访3个月后,试验组SLE知识掌握评分(77.21±7.82)分、自我护理行为评分(144.82±11.53)分、生命质量评分(78.21±5.59)分,均优于对照组的(67.39±9.01)、(130.21±9.03)分和(67.11±5.74)分,t=5.073、6.146、8.541,P<0.01,差异均有统计学意义;随访6个月后,试验组SLE知识掌握评分(92.21±6.59)分、自我护理行为评分(160.87±7.25)分、生命质量评分(84.95±4.15)分,均优于对照组的(80.82±7.70)、(140.58±9.32)分和(69.77±5.46)分,t=6.933、10.593、13.655,P<0.01,差异均有统计学意义.结论 PDCA循环结合PIO形式随访管理是一种以患者为中心的全程互动模式,能改善SLE患者对疾病知识的掌握情况,提高患者的自我护理行为和生命质量.

Objective To evaluate the effect of problem-intervention-outcome health education guided by PDCA cycle in the followed-up training of patients with systemic lupus erythematosus (SLE). Methods 76 patients with SLE were divided into 2 groups by random digital table method with 38 cases each. The followed-up study of experimental group applied on regular followed-up management associated with the whole process health education based on PDCA cycle, and the control group only applied on regular followed-up mangement. Results After 3-month followed-up, the SLE patients of experimental group were better than the ones of control group in SLE knowledge [(77.21±7.82) points vs. (67.39±9.01) points], self-care behaviors [(144.82±11.53) points vs. (130.21±9.03) points] and quality of life [(78.21±5.59) points vs. (67.11±5.74) points] (t values were 5.073, 6.146, 8.541, P<0.01). After 6-month followed-up, the SLE patients of experimental group were better than the ones of control group in SLE knowledge [(92.21 ±6.59) points vs. (80.82±7.70) points], self-care behaviors [(160.87±7.25) points vs. (140.58±9.32) points] and quality of life [(84.95 ±4.15) points vs. (69.77 ±5.46) points] (t values were 6.933, 10.593, 13.655, P<0.01), the difference was significant. Conclusions The followed-up management based on the problem-intervention-outcome health education guided by PDCA cycle is a patient-centered and interactive model, which can effectively improve the level of SLE knowledge, and the patient′s self-care behaviors and quality of life.