中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
Chinese Journal of Modern Nursing
2015年
28期
3395-3398
,共4页
PDCA循环法%难治性肺结核%护理效果
PDCA循環法%難治性肺結覈%護理效果
PDCA순배법%난치성폐결핵%호리효과
PDCA cycling method%Refractory pulmonary tuberculosis%Nursing effect
目的 探讨应用PDCA循环方案培训护士对住院难治性肺结核患者的影响. 方法 选取100例难治性肺结核患者作为研究对象,根据患者接受的护理方式将患者分为对照组和观察组,每组各50例. 对照组给予常规护理,观察组给予PDCA循环法培训护士后护理方式,评价两组护士在培训前后对难治性肺结核疾病的理论知识以及操作技巧的评分,比较两组患者遵医行为情况以及自我效能.结果 培训后,25名护士的理论成绩及操作技能评分均有提升,与培训前比较,差异有统计学意义( t值分别为10. 583,12. 457;P<0. 01). 护理后,观察组患者的遵医指引、营养以及休息、药物治疗、防护措施以及定期检查的遵医例数明显地高于对照组,差异有统计学意义( t值分别为18. 438,11. 237,13. 462, 15. 442,19. 598;P<0. 01). 观察组患者的不适应证、遵医服药、准时复查、情绪管理、合理休息、饮食管理以及自我效能总分的评分均明显高于对照组,差异有统计学意义( t 值分别为4. 561,4. 016,5. 128, 5. 815,4. 924,6. 425,13. 521;P<0. 01). 结论 PDCA循环方案培训法不仅可以有效地促进护士的理论知识以及操作技能,还可以有效改善患者的遵医行为和自我效能.
目的 探討應用PDCA循環方案培訓護士對住院難治性肺結覈患者的影響. 方法 選取100例難治性肺結覈患者作為研究對象,根據患者接受的護理方式將患者分為對照組和觀察組,每組各50例. 對照組給予常規護理,觀察組給予PDCA循環法培訓護士後護理方式,評價兩組護士在培訓前後對難治性肺結覈疾病的理論知識以及操作技巧的評分,比較兩組患者遵醫行為情況以及自我效能.結果 培訓後,25名護士的理論成績及操作技能評分均有提升,與培訓前比較,差異有統計學意義( t值分彆為10. 583,12. 457;P<0. 01). 護理後,觀察組患者的遵醫指引、營養以及休息、藥物治療、防護措施以及定期檢查的遵醫例數明顯地高于對照組,差異有統計學意義( t值分彆為18. 438,11. 237,13. 462, 15. 442,19. 598;P<0. 01). 觀察組患者的不適應證、遵醫服藥、準時複查、情緒管理、閤理休息、飲食管理以及自我效能總分的評分均明顯高于對照組,差異有統計學意義( t 值分彆為4. 561,4. 016,5. 128, 5. 815,4. 924,6. 425,13. 521;P<0. 01). 結論 PDCA循環方案培訓法不僅可以有效地促進護士的理論知識以及操作技能,還可以有效改善患者的遵醫行為和自我效能.
목적 탐토응용PDCA순배방안배훈호사대주원난치성폐결핵환자적영향. 방법 선취100례난치성폐결핵환자작위연구대상,근거환자접수적호리방식장환자분위대조조화관찰조,매조각50례. 대조조급여상규호리,관찰조급여PDCA순배법배훈호사후호리방식,평개량조호사재배훈전후대난치성폐결핵질병적이론지식이급조작기교적평분,비교량조환자준의행위정황이급자아효능.결과 배훈후,25명호사적이론성적급조작기능평분균유제승,여배훈전비교,차이유통계학의의( t치분별위10. 583,12. 457;P<0. 01). 호리후,관찰조환자적준의지인、영양이급휴식、약물치료、방호조시이급정기검사적준의례수명현지고우대조조,차이유통계학의의( t치분별위18. 438,11. 237,13. 462, 15. 442,19. 598;P<0. 01). 관찰조환자적불괄응증、준의복약、준시복사、정서관리、합리휴식、음식관리이급자아효능총분적평분균명현고우대조조,차이유통계학의의( t 치분별위4. 561,4. 016,5. 128, 5. 815,4. 924,6. 425,13. 521;P<0. 01). 결론 PDCA순배방안배훈법불부가이유효지촉진호사적이론지식이급조작기능,환가이유효개선환자적준의행위화자아효능.
Objective To explore the effects of PDCA cycling scheme application for nurses and hospital patients with refractory pulmonary tuberculosis. Methods A total of 100 patients with refractory pulmonary tuberculosis were selected as the research objects, and were divided into control group and observation group according to the nursing mode of patients accepted, each group of 50 cases. The patients of control group were given conventional nursing, while the patients of observation group were treated the nursing mode by nurses who trained PDCA cycling method. Before and after training, nurses in two groups were examined the theoretical knowledge and operative skills of refractory pulmonary tuberculosis and the scores of exam were compared between two groups. The medical compliance and self-efficacy were compared between two groups. Results After the training , the theoretical knowledge and operative skills of refractory pulmonary tuberculosis scores of 25 nurses were obviously higher than those of before (t=10. 583, 12. 457;P<0. 01). After nursing in the observation group, patients′ medical compliance, nutrition and rest, drug treatment, protective measures and incidences of regular check on time were apparently higher than those of the control group (t=18. 438, 11. 237, 13. 462, 15. 442, 19. 598;P <0. 01). The scores of no indications, taking medication as order, regular check on time, mood management, reasonable rest, diet management and self-efficacy in the observation group were apparently higher than those of the control group ( t =4. 561, 4. 016, 5. 128, 5. 815, 4. 924, 6. 425, 13. 521;P<0. 01). Conclusions The PDCA cycling training method not only can effectively promote the nurse theoretical knowledge and skills, but also can effectively improve the patients compliance and self-efficacy, so it is worth to promote the clinical promotion.
