目的 探讨基于健康理念的PDCA循环护理模式对心脏瓣膜疾病患者的护理效果.方法 选取2018年12月至2021年12 月于金华市人民医院住院治疗的 116 例心脏瓣膜疾病患者为研究对象,根据随机数字表法将纳入患者分为对照组和观察组,每组各 58 例.对照组患者给予常规护理干预,观察组患者给予PDCA循环护理干预.比较两组患者的生活质量、焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分、并发症及护理满意度.结果 护理后,两组患者的躯体功能、心理功能、社会功能及总体生活质量评分均显著高于本组护理前(P<0.05),且观察组患者的上述指标评分均显著高于对照组(P<0.05).护理后,两组患者的SAS、SDS评分均显著低于本组护理前(P<0.05),且观察组患者的SAS、SDS评分均显著低于对照组(P<0.05).观察组患者的并发症发生率显著低于对照组(χ2=4.668,P=0.003).两组患者的护理满意度比较差异无统计学意义(χ2=2.511,P=0.113).结论 心脏瓣膜疾病患者采用健康理念下的PDCA循环护理模式进行干预,可提高患者的生活质量,缓解焦虑、抑郁情绪,减少并发症发生.
Objective To explore the nursing effect of PDCA circulation nursing model based on health concept on patients with valvular heart disease.Methods A total of 116 patients with valvular heart disease hospitalized in Jinhua People's Hospital from December 2018 to December 2021 were selected as study objects.According to random number table method,the included patients were divided into control group and observation group,with 58 cases in each group.The patients in control group received routine nursing intervention,while the patients in observation group received PDCA circulation nursing intervention.The quality of life,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,complications and nursing satisfaction of two groups were compared.Results After nursing,the scores of physical function,psychological function,social function and overall quality of life in two groups were significantly higher than those before nursing(P<0.05),and the scores of above indexes of patients in observation group were significantly higher than those in control group(P<0.05).After nursing,SAS and SDS scores of two groups were significantly lower than those before nursing(P<0.05),and SAS and SDS scores of observation group were significantly lower than those of control group(P<0.05).The complication rate of observation group was significantly lower than that of control group(χ2=4.668,P=0.003).There was no significant difference in nursing satisfaction between two groups(χ2=2.511,P=0.113).Conclusion Patients with valvular heart disease can improve their quality of life,relieve anxiety and depression,and reduce complications by using PDCA circulation nursing model based on health concept.
邢利英;方文宾;李莉
金华市人民医院介入和血管外科,浙江金华 321000金华市人民医院老年医学科,浙江金华 321000金华市人民医院心血管内二科,浙江金华 321000
临床医学
健康理念;PDCA循环护理模式;心脏瓣膜疾病
Health concept;PDCA circulation nursing model;Valvular heart disease
《中国现代医生》 2024 (001)
78-81 / 4
浙江省医学会临床科研基金项目(2020ZYC-a84)
10.3969/j.issn.1673-9701.2024.01.019
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