中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
36期
4427-4431
,共5页
杨滢%鲍鹤梅%褚静茹%王婷婷
楊瀅%鮑鶴梅%褚靜茹%王婷婷
양형%포학매%저정여%왕정정
肝移植%依从性%生活质量%PDCA循环管理模式
肝移植%依從性%生活質量%PDCA循環管理模式
간이식%의종성%생활질량%PDCA순배관리모식
Liver transplantation%Compliance%Quality of life%PDCA circulation
目的 探讨PDCA循环管理模式在肝移植患者中应用的效果.方法 选择2009年4月至2011年5月接受肝移植手术的患者120例,按就诊时间分为实验组和对照组各60例,对照组应用常规管理模式,实验组应用PDCA循环管理模式,于实施术前及术后第1次复查时发放自行设计的肝移植患者依从性调查问卷、生活质量指数评定量表和对护士工作的满意度量表,除去4例失访人员,比较两组结果.结果 实验组患者在服药、生活习惯、合理锻炼、自我监测护理方面依从较好者分别为57,52,51,52例,总体生活质量评分为(6.52±0.53)分,满意率为94.92％,均高于对照组[44,39,40,40例,(4.36±0.78)分,82.46％],差异均有统计学意义(依从性x2分别为6.3096,6.6646,4.536 5,5.6991,满意度x2 =4.5225,生活质量t=17.498；P ＜0.05)；两组患者在生活质量4个方面评分比较差异均有统计学意义(P＜0.05).结论 应用PDCA循环管理模式能提高肝移植患者的依从性和生活质量,增进患者对护理工作的满意度.
目的 探討PDCA循環管理模式在肝移植患者中應用的效果.方法 選擇2009年4月至2011年5月接受肝移植手術的患者120例,按就診時間分為實驗組和對照組各60例,對照組應用常規管理模式,實驗組應用PDCA循環管理模式,于實施術前及術後第1次複查時髮放自行設計的肝移植患者依從性調查問捲、生活質量指數評定量錶和對護士工作的滿意度量錶,除去4例失訪人員,比較兩組結果.結果 實驗組患者在服藥、生活習慣、閤理鍛煉、自我鑑測護理方麵依從較好者分彆為57,52,51,52例,總體生活質量評分為(6.52±0.53)分,滿意率為94.92％,均高于對照組[44,39,40,40例,(4.36±0.78)分,82.46％],差異均有統計學意義(依從性x2分彆為6.3096,6.6646,4.536 5,5.6991,滿意度x2 =4.5225,生活質量t=17.498；P ＜0.05)；兩組患者在生活質量4箇方麵評分比較差異均有統計學意義(P＜0.05).結論 應用PDCA循環管理模式能提高肝移植患者的依從性和生活質量,增進患者對護理工作的滿意度.
목적 탐토PDCA순배관리모식재간이식환자중응용적효과.방법 선택2009년4월지2011년5월접수간이식수술적환자120례,안취진시간분위실험조화대조조각60례,대조조응용상규관리모식,실험조응용PDCA순배관리모식,우실시술전급술후제1차복사시발방자행설계적간이식환자의종성조사문권、생활질량지수평정량표화대호사공작적만의도량표,제거4례실방인원,비교량조결과.결과 실험조환자재복약、생활습관、합리단련、자아감측호리방면의종교호자분별위57,52,51,52례,총체생활질량평분위(6.52±0.53)분,만의솔위94.92％,균고우대조조[44,39,40,40례,(4.36±0.78)분,82.46％],차이균유통계학의의(의종성x2분별위6.3096,6.6646,4.536 5,5.6991,만의도x2 =4.5225,생활질량t=17.498；P ＜0.05)；량조환자재생활질량4개방면평분비교차이균유통계학의의(P＜0.05).결론 응용PDCA순배관리모식능제고간이식환자적의종성화생활질량,증진환자대호리공작적만의도.
Objective To investigate the application of PDCA circulation in the patients undergoing liver transplantation.Methods Apart from 1 of experiment and 3 of control group failed to be followed up,116 cases undergoing liver transplantation in our liver transplant center from April 2009 to May 2011 were divided into the experiment group (n =59) and control group (n =57) by registration order.PDCA circulation was used in the experiment group,but in the control group,routine management mode was used.A self-designed questionnaire about the compliance of liver transplantation and the Satisfaction Degree of Patients to the Nursing Work and Quality of Life Index (QL-Index) were used to investigate at the first follow-up time.Results There was a significant difference between two groups in the aspects of habits and customs,drug-taking compliance,reasonable physical training,self-monitoring and the satisfaction degree of patients to the nursing work [57 vs 44,52 vs 39,51 vs 40,52 vs 40 ; 94.92％ vs 82.46％ ; x2 =6.3096,6.6646,4.5365,5.6991,4.5225,respectively;P ＜ 0.05].Overall life quality score of experimental group (6.52 ± 0.53) was higher than that in control group (4.36 ± 0.78),and the difference was statistically significant (t =17.498,P ＜ 0.05).All the items of QL-Index showed a significantly statistical difference between two groups (P ＜ 0.05).Conclusions Applying PDCA circulation can enhance the compliance and quality of life of patients undergoing liver transplantation and improve their satisfaction degree to the nursing work.
