摘要
目的:探讨基于PDCA(plan-do-check-action,PDCA)循环管理的人性化护理在腹腔镜阑尾切除术患者中的应用。方法:选取宜春学院第二附属医院2022年4月-2023年6月收治的72例腹腔镜阑尾切除术患者为研究对象,按照随机数字表法分为两组,每组36例。对照组患者给予常规护理,观察组患者于常规护理基础上实施基于PDCA循环管理的人性化护理。对比分析两组患者的康复进程情况、生活质量、并发症。结果:观察组的排便时间(30.72±6.03)h、肛门排气时间(27.06±5.38)h、住院时间(5.29±0.77)d均短于对照组的(50.11±10.84)h、(36.11±7.24)h、(7.82±1.36)d,差异有统计学意义(P<0.05);观察组健康状况调查问卷(SF-36)中的精神健康(82.35±7.24)分、社会功能(74.86±5.81)分、生命活力(77.89±6.16)分、躯体疼痛(78.94±6.87)分、总体健康(79.85±5.84)分、情感职能(82.11±7.06)分、生理职能(76.13±6.04)分、活动能力(72.99±7.08)分均高于对照组的(70.86±6.44)分、(65.77±4.28)分、(64.15±5.05)分、(66.94±5.12)分、(63.33±4.18)分、(70.95±4.29)分、(65.12±4.18)分、(60.21±4.13)分,差异有统计学意义(P<0.05);两组并发症发生率相比,差异无统计学意义(P>0.05)。结论:基于PDCA循环管理的人性化护理效果显著,能够促进患者康复,提高其生活质量,且安全可靠。
Objective:To explore the application of humanized nursing based on PDCA(plan do check action)cycle management in patients undergoing laparoscopic appendectomy.Methods:72 patients with laparoscopic appendectomy in the Second Affiliated Hospital of Yichun University from April 2022 to June 2023 were selected as the research objects and randomly divided into two groups.The control group(n=36)received routine nursing,while the observation group(n=36)received humanized nursing based on PDCA cycle management on the basis of routine nursing.The two groups’rehabilitation process,quality of life and complications were compared and analyzed.Results:The observation group’s defecation time(30.72±6.03)h,anal exhaust time(27.06±5.38)h and hospitalization time(5.29±0.77)d were shorter than control group’s(50.11±10.84)h,(36.11±7.24)h,(7.82±1.36)d,meanwhile the differences were statistically significant(P<0.05).The observation group’s scores of mental health(82.35±7.24),social function(74.86±5.81),vitality(77.89±6.16),physical pain(78.94±6.87),overall health(79.85±5.84),emotional function(82.11±7.06),physiological function(76.13±6.04)and activity ability(72.99±7.08)were significantly higher than control group’s(70.86±6.44),(65.77±4.28),(64.15±5.05),(66.94±5.12),(63.33±4.18),(70.95±4.29),(65.12±4.18),(60.21±4.13),while the difference was statistically significant(P<0.05).The comparison of the incidence of complications between the two groups was not significant different(P>0.05).Conclusion:The humanized nursing based on PDCA cycle management has remarkable effect.It can promote the rehabilitation of patients,improve their quality of life,and is safe and reliable.
作者
熊静萍
喻水平
XIONG Jing-ping;YU Shui-ping(Operating Room of The Second Affiliated Hospital of Yichun University,Yichun 336000,China)
出处
《宜春学院学报》
2024年第9期89-92,共4页
Journal of Yichun University
