PDCA循环式护理在慢性乙型肝炎患者中的应用效果
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摘要
目的探讨PDCA循环式护理在提高慢性乙型肝炎(乙肝)患者生存质量的作用。方法选取2016年7月～2018年7月我院收治的104例乙肝患者作为研究对象,按照随机数字表法将其分为观察组和参照组,每组各52例。参照组接受常规临床护理,观察组则采用PDCA循环式护理干预。采用慢性肝病问卷量表(CLDQ)比较两组干预前后的生存质量改善情况,并使用调查问卷调查比较两组的护理满意度。结果干预前,两组的全身症状、焦虑、活动、乏力、腹部症状、情感功能等各项CLDQ指标评分比较,差异无统计学意义(P>0.05)。干预后,两组的各项CLDQ指标评分均有所提高,观察组各项CLDQ指标评分均高于参照组,差异有统计学意义(P<0.05)。观察组护理总满意度为92.31%,高于参照组的76.92%,差异有统计学意义(P<0.05)。结论乙肝患者应用PDCA循环模式护理干预,能提高其生存质量,有效提升护理满意度,值得临床推广应用。
Objective To explore the effect of PDCA circulatory nursing on improving the quality of life of patients with chronic hepatitis B. Methods From July 2016 to July 2018, 104 patients with chronic hepatitis B in our hospital were selected as an object of study. They were divided into the observation group and the reference group according to random number table method, 52 cases in each group. The patients in the reference group were received routine clinical nursing, while the patients in the observation group were treated with PDCA circulatory nursing intervention. The improvement of quality of life before and after intervention were compared between the two groups by(CLDQ) questionnaire scale of chronic liver disease, and the nursing satisfaction degree of the two groups was compared with the questionnaire survey. Results Before intervention, there was no significant difference in CLDQ scores between the two groups in terms of systemic symptoms, anxiety, activity, fatigue, abdominal symptoms and emotional function(P>0.05).After intervention, the CLDQ scores of the two groups were improved, while the CLDQ scores in the observation group were higher than those in the control group(P<0.05). The nursing satisfaction of the patients in the observation group was 92.31%, higher than that in the control group(76.92%), the difference was statistically significant(P<0.05). Conclusion The application of PDCA circulation mode in nursing intervention in patients with chronic hepatitis B can improve their quality of life and improve their nursing satisfaction effectively. It is worth popularizing and applying in clinic.
Objective To explore the effect of PDCA circulatory nursing on improving the quality of life of patients with chronic hepatitis B. Methods From July 2016 to July 2018, 104 patients with chronic hepatitis B in our hospital were selected as an object of study. They were divided into the observation group and the reference group according to random number table method, 52 cases in each group. The patients in the reference group were received routine clinical nursing, while the patients in the observation group were treated with PDCA circulatory nursing intervention. The improvement of quality of life before and after intervention were compared between the two groups by(CLDQ) questionnaire scale of chronic liver disease, and the nursing satisfaction degree of the two groups was compared with the questionnaire survey. Results Before intervention, there was no significant difference in CLDQ scores between the two groups in terms of systemic symptoms, anxiety, activity, fatigue, abdominal symptoms and emotional function(P>0.05).After intervention, the CLDQ scores of the two groups were improved, while the CLDQ scores in the observation group were higher than those in the control group(P<0.05). The nursing satisfaction of the patients in the observation group was 92.31%, higher than that in the control group(76.92%), the difference was statistically significant(P<0.05). Conclusion The application of PDCA circulation mode in nursing intervention in patients with chronic hepatitis B can improve their quality of life and improve their nursing satisfaction effectively. It is worth popularizing and applying in clinic.
引文
[1]石劢,马小陶,林兵,等.慢性乙型肝炎患者的生存质量及影响因素[J].中华传染病杂志,2016,34(5):267-270.
[2]来燕红,黄晓玉,李彦博,等.慢性乙型肝炎合并焦虑症患者生存质量及免疫指标的变化研究[J].中华医院感染学杂志,2017,27(4):788-791.
[3]翟清华,郑蔚,张利霞,等.PDCA循环式护理干预对慢性乙型肝炎患者生存质量的影响[J].实用医学杂志,2013,29(20):3422-3424.
[4]姚素玉,梁昌兰,盛玉萍,等.PDCA管理模式对白血病患者健康知识掌握程度及生活质量的影响[J].中华疾病控制杂志,2016,20(8):843-846.
[5]孙利红.PDCA循环式护理干预对慢性乙型肝炎患者生存质量的影响[J].现代中西医结合杂志,2016,25(30):3412-3414.
[6]张林,张婧,周钢,等.SF-36量表评价HBeAg阳性慢性乙型肝炎患者抗病毒治疗对生活质量的改善[J].重庆医学,2017,46(32):4582-4584.
[7]中华医学会肝病学分会,中华医学会感染病学分会.慢性乙型肝炎防治指南(2015更新版)[J].中华肝脏病杂志,2015,23(12):888-889.
[8]许丽红,蒋文慧,张苗苗,等.自我管理行为干预对慢性乙型肝炎患者生存质量影响的研究[J].护理管理杂志,2015,5(6):435-437.
[9]温馨,轧春妹,王佩,等.授权教育对慢性乙型肝炎患者生活质量的影响[J].解放军护理杂志,2016,33(2):65-68.
[10]杨娟,侯辉丽,杨绍田,等.PDCA循环护理在妇科肿瘤患者术后康复的效果分析[J].重庆医学,2016,45(34):4885-4886.
[11]包乐伟.护理干预对慢性乙型肝炎患者生活质量与心理健康的作用分析[J].中国实用医药,2017,12(22):177-178.
[12]李荣艳.PDCA循环式护理在提高慢性乙型肝炎患者生存质量中的应用价值分析[J].中国卫生标准管理,2015,6(20):241-242.
[13]郑云英.PDCA循环护理对慢性乙型肝炎患者生存质量的干预效果分析[J].当代医学,2018,24(15):134-136.
[14]邱燕燕,陈少华.PDCA循环护理模式在慢性乙型肝炎护理中应用的可行性分析[J].中国卫生标准管理,2017,8(7):175-177.
[2]来燕红,黄晓玉,李彦博,等.慢性乙型肝炎合并焦虑症患者生存质量及免疫指标的变化研究[J].中华医院感染学杂志,2017,27(4):788-791.
[3]翟清华,郑蔚,张利霞,等.PDCA循环式护理干预对慢性乙型肝炎患者生存质量的影响[J].实用医学杂志,2013,29(20):3422-3424.
[4]姚素玉,梁昌兰,盛玉萍,等.PDCA管理模式对白血病患者健康知识掌握程度及生活质量的影响[J].中华疾病控制杂志,2016,20(8):843-846.
[5]孙利红.PDCA循环式护理干预对慢性乙型肝炎患者生存质量的影响[J].现代中西医结合杂志,2016,25(30):3412-3414.
[6]张林,张婧,周钢,等.SF-36量表评价HBeAg阳性慢性乙型肝炎患者抗病毒治疗对生活质量的改善[J].重庆医学,2017,46(32):4582-4584.
[7]中华医学会肝病学分会,中华医学会感染病学分会.慢性乙型肝炎防治指南(2015更新版)[J].中华肝脏病杂志,2015,23(12):888-889.
[8]许丽红,蒋文慧,张苗苗,等.自我管理行为干预对慢性乙型肝炎患者生存质量影响的研究[J].护理管理杂志,2015,5(6):435-437.
[9]温馨,轧春妹,王佩,等.授权教育对慢性乙型肝炎患者生活质量的影响[J].解放军护理杂志,2016,33(2):65-68.
[10]杨娟,侯辉丽,杨绍田,等.PDCA循环护理在妇科肿瘤患者术后康复的效果分析[J].重庆医学,2016,45(34):4885-4886.
[11]包乐伟.护理干预对慢性乙型肝炎患者生活质量与心理健康的作用分析[J].中国实用医药,2017,12(22):177-178.
[12]李荣艳.PDCA循环式护理在提高慢性乙型肝炎患者生存质量中的应用价值分析[J].中国卫生标准管理,2015,6(20):241-242.
[13]郑云英.PDCA循环护理对慢性乙型肝炎患者生存质量的干预效果分析[J].当代医学,2018,24(15):134-136.
[14]邱燕燕,陈少华.PDCA循环护理模式在慢性乙型肝炎护理中应用的可行性分析[J].中国卫生标准管理,2017,8(7):175-177.