实用临床医药杂志
實用臨床醫藥雜誌
실용림상의약잡지
Journal of Clinical Medicine in Practice
2015年
20期
37-39,46
,共4页
PDCA循环管理%三腔二囊管%肝硬化%消化道出血
PDCA循環管理%三腔二囊管%肝硬化%消化道齣血
PDCA순배관리%삼강이낭관%간경화%소화도출혈
PDCA cycle management%three cavity two capsule tube%liver cirrhosis%hemorrhage of digestive tract
目的：探讨 PDCA 循环管理在三腔二囊管治疗肝硬化消化道出血患者中的应用效果。方法86例硬化消化道出血患者按照护理方式不同分为对照组和观察组，其中对照组接受常规护理，观察组接受 PDCA 循环管理法。比较2组患者遵医行为情况、自我效能情况、生活质量以及护理满意度。结果观察组患者在遵医指引、药物治疗、营养和休息、防护措施、定期检查5个维度的遵医行为显著优于对照组，差异具有统计学意义（P ＜0．05）；观察组患者的自我效能总分和5个维度的得分均显著优于对照组，差异具有统计学意义（P ＜0．05）；观察组患者的总体健康、生理功能、生理职能、躯体疼痛、活力、情感职能、社会功能以及精神健康得分显著优于对照组，差异具有统计学意义（P ＜0．05）；观察组患者的护理总满意率显著优于对照组，差异具有统计学意义（P ＜0．05）。结论在三腔二囊管治疗肝硬化消化道出血患者中 PDCA 循环管理能够提升遵医行为、自我效能、生活质量和护理满意度，值得临床推广。
目的：探討 PDCA 循環管理在三腔二囊管治療肝硬化消化道齣血患者中的應用效果。方法86例硬化消化道齣血患者按照護理方式不同分為對照組和觀察組，其中對照組接受常規護理，觀察組接受 PDCA 循環管理法。比較2組患者遵醫行為情況、自我效能情況、生活質量以及護理滿意度。結果觀察組患者在遵醫指引、藥物治療、營養和休息、防護措施、定期檢查5箇維度的遵醫行為顯著優于對照組，差異具有統計學意義（P ＜0．05）；觀察組患者的自我效能總分和5箇維度的得分均顯著優于對照組，差異具有統計學意義（P ＜0．05）；觀察組患者的總體健康、生理功能、生理職能、軀體疼痛、活力、情感職能、社會功能以及精神健康得分顯著優于對照組，差異具有統計學意義（P ＜0．05）；觀察組患者的護理總滿意率顯著優于對照組，差異具有統計學意義（P ＜0．05）。結論在三腔二囊管治療肝硬化消化道齣血患者中 PDCA 循環管理能夠提升遵醫行為、自我效能、生活質量和護理滿意度，值得臨床推廣。
목적：탐토 PDCA 순배관리재삼강이낭관치료간경화소화도출혈환자중적응용효과。방법86례경화소화도출혈환자안조호리방식불동분위대조조화관찰조，기중대조조접수상규호리，관찰조접수 PDCA 순배관리법。비교2조환자준의행위정황、자아효능정황、생활질량이급호리만의도。결과관찰조환자재준의지인、약물치료、영양화휴식、방호조시、정기검사5개유도적준의행위현저우우대조조，차이구유통계학의의（P ＜0．05）；관찰조환자적자아효능총분화5개유도적득분균현저우우대조조，차이구유통계학의의（P ＜0．05）；관찰조환자적총체건강、생리공능、생리직능、구체동통、활력、정감직능、사회공능이급정신건강득분현저우우대조조，차이구유통계학의의（P ＜0．05）；관찰조환자적호리총만의솔현저우우대조조，차이구유통계학의의（P ＜0．05）。결론재삼강이낭관치료간경화소화도출혈환자중 PDCA 순배관리능구제승준의행위、자아효능、생활질량화호리만의도，치득림상추엄。
ABSTRACT:Objective To explore the application effect of PDCA cycle management on di-gestive tract hemorrhage in liver cirrhosis patients with three cavity two capsule treatment.Meth-ods A total of 86 patients with digestive tract hemorrhage were divided into control group and ob-servation group according to sclerosis of different nursing methods,the control group received con-ventional nursing,and the observation group received the PDCA cycle management method.Pa-tients’compliance behavior self-efficacy,quality of life and nursing satisfaction were compared. Results Compliance guidelines,drug therapy,nutrition and rest,protection measures,and regu-larly check were significantly better than that in the control group,the difference was statistically significant (P <0.05);Patients’self-efficacy score and the score of 5 dimensions in the observa-tion group were significantly better than that in the control group,the difference was statistically significant (P <0.01);Overall health,physical function,physical function,bodily pain,vitality, social function,role emotional and mental health scores in the observation group were significantly better than that in the control group,the difference was statistically significant (P <0.05);The total nursing satisfaction in the observation group was higher than those in the control group,the difference was statistically significant (P <0.05).Conclusion The tube in the treatment of hem-orrhage in patients with PDCA cycle management can enhance the compliance behavior,self-effi-cacy,quality of life and nursing satisfaction of digestive tract in liver cirrhosis three cavity two cap-sule,so it is worthy of the clinical promotion.
