中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
25期
166-169
,共4页
PDCA循环理论%临床疗效%心血管外科ICU
PDCA循環理論%臨床療效%心血管外科ICU
PDCA순배이론%림상료효%심혈관외과ICU
PDCA cycle theory%Clinical curative effect%Cardiovascular surgical ICU
目的：探讨PDCA循环理论在心血管外科ICU护理中的应用效果。方法选择2014年1~12月解放军总医院心血管外科ICU患者120例，按随机数字表法分为对照组(60例)和实验组(60例)。对照组患者采用常规模式治疗和护理，实验组患者采取PDCA循环管理模式进行治疗和护理。比较两组患者的焦虑状况，并观察治疗后两组患者的护理满意度及不良反应发生情况。结果治疗后，实验组焦虑得分[(40.36±2.61)分]明显低于对照组[(49.65±2.64)分]，差异有统计学意义(P<0.05)。实验组的护理满意度(98.33%)明显高于对照组(88.33%)，差异有统计学意义(P<0.05)。实验组不良反应发生率(3.33%)明显低于对照组(18.33%)，差异有统计学意义(P<0.05)。结论 PDCA循环质量管理的科学方法运用于心血管外科ICU患者的护理，可明显减少患者不良反应的发生，缓解焦虑状况，提高患者对护理的满意度，确保各项护理措施的落实执行和质量的持续改进。
目的：探討PDCA循環理論在心血管外科ICU護理中的應用效果。方法選擇2014年1~12月解放軍總醫院心血管外科ICU患者120例，按隨機數字錶法分為對照組(60例)和實驗組(60例)。對照組患者採用常規模式治療和護理，實驗組患者採取PDCA循環管理模式進行治療和護理。比較兩組患者的焦慮狀況，併觀察治療後兩組患者的護理滿意度及不良反應髮生情況。結果治療後，實驗組焦慮得分[(40.36±2.61)分]明顯低于對照組[(49.65±2.64)分]，差異有統計學意義(P<0.05)。實驗組的護理滿意度(98.33%)明顯高于對照組(88.33%)，差異有統計學意義(P<0.05)。實驗組不良反應髮生率(3.33%)明顯低于對照組(18.33%)，差異有統計學意義(P<0.05)。結論 PDCA循環質量管理的科學方法運用于心血管外科ICU患者的護理，可明顯減少患者不良反應的髮生，緩解焦慮狀況，提高患者對護理的滿意度，確保各項護理措施的落實執行和質量的持續改進。
목적：탐토PDCA순배이론재심혈관외과ICU호리중적응용효과。방법선택2014년1~12월해방군총의원심혈관외과ICU환자120례，안수궤수자표법분위대조조(60례)화실험조(60례)。대조조환자채용상규모식치료화호리，실험조환자채취PDCA순배관리모식진행치료화호리。비교량조환자적초필상황，병관찰치료후량조환자적호리만의도급불량반응발생정황。결과치료후，실험조초필득분[(40.36±2.61)분]명현저우대조조[(49.65±2.64)분]，차이유통계학의의(P<0.05)。실험조적호리만의도(98.33%)명현고우대조조(88.33%)，차이유통계학의의(P<0.05)。실험조불량반응발생솔(3.33%)명현저우대조조(18.33%)，차이유통계학의의(P<0.05)。결론 PDCA순배질량관리적과학방법운용우심혈관외과ICU환자적호리，가명현감소환자불량반응적발생，완해초필상황，제고환자대호리적만의도，학보각항호리조시적락실집행화질량적지속개진。
Objective To discuss application effect of PDCA cycle theory in cardiovascular surgical ICU nursing. Methods 120 patients in cardiovascular surgical ICU of General Hospital of PLA from January to December 2014 were selected and divided into control group and experimental group according to random number table method, with 60 cas-es in each group. Control group were treated with routine treatment and care, and experimental group were treated with PDCA cycle management model for treatment and care. The anxious situation between two groups was compared. The nursing satisfaction rate and adverse reactions between two groups were observed after treatment. Results The anxiety score of experimental group [(40.36±2.61) point] was significantly lower than that of control group [(49.65±2.64) point], with statistically significant difference (P<0.05). The nursing satisfaction rate of experimental group (98.33%) was sig-nificantly higher than that of control group (88.33%), with statistically significant difference (P< 0.05). The incidence rate of adverse reaction in experimental group (3.33%) was significantly lower than that in control group (18.33%), with statistically significant difference (P< 0.05). Conclusion The scientific method of PDCA cycle applied in cardiovascu-lar surgical ICU nursing can obviously reduce the patients’ adverse reactions and anxiety situations, which also im-proves patients’ nursing satisfaction rate and ensures the implementation of all nursing measures and continuous im-provement of nursing quality.
