| 王芳萍,赵艳.PDCA护理模式对内镜逆行胰胆管造影术患者的护理质量的影响的研究[J].上海护理,2020,20(S1): |
| PDCA护理模式对内镜逆行胰胆管造影术患者的护理质量的影响的研究 |
| The Study of the effect of PDCA nursing model on the nursing quality of patients with endoscopic retrograde cholangiopancreatography |
| DOI： |
| 中文关键词: 内镜逆行胰胆管造影术，常规护理，PDCA护理模式 |
| 英文关键词:Endoscopic retrograde cholangiopancreatography, Conventional nursing, PDCA nursing model |
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| 中文摘要: |
| 探究PDCA护理模式对经内镜逆行胰胆管造影术（endoscopic retrograde cholangiopancreatography，ERCP）患者的护理质量的影响。方法：纳入2017年05月至2019年05月在复旦大学附属华山医院北院内镜中心行ERCP患者共200例，采用随机分组法分为对照组和实验组，对照组实施常规的护理模式，实验组实施PDCA护理模式，包括计划（P），实施（D），检查（C），处理（C）多个环节。比较两种护理模式下患者的焦虑自评量表（SAS）和抑郁自评量表（SDS）的评分以及术后2周两组患者的满意度情况。结果：对照组在护理前的SAS和SDS评分为51.12?4.2和51.55?4.65，实验组在护理前的SAS和SDS评分分别为52.13?5.27和52.75?5.18，两组比较差异无统计学意义（P>0.05）。对照组在实施常规护理模式后的SAS和SDS评分分别为47.77?4.02和47.91?4.49，实验组在实施PDCA护理模式后的SAS和SDS评分分别为29.02?2.37和30.73?2.30，两组患者在护理前后比较有统计学差异（P<0.05），且实验组和对照组术后SAS和SDS比较有统计学差异（P<0.05）。对照组和实验组术后2周随访的满意度分别为56%和92%，2组比较有统计学差异（P<0.05）。结论：PDCA护理模式能够明显改善ERCP患者的焦虑和抑郁情况，提高患者的满意度，提高护理质量水平，可以在实施ERCP患者中得到广泛的应用。 |
| 英文摘要: |
| Objective:To explore the effect of PDCA nursing model on the nursing quality of patients undergoing endoscopic retrograde cholangiopancreatography.
Methods: 200 patients who underwent ERCP in endoscopy center of huashan hospital north fudan university from May 2017 to May 2019 were randomly divided into control group and experimental group. The control group was given routine nursing mode, while the experimental group was given PDCA nursing mode ,including plan(P),do(D),check(C),act(A). The scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) under the two nursing modes were compared, and the satisfaction of patients two weeks after surgery were recorded.
Results：The SAS and SDS scores before nursing of the control group and experimental group were 51.12?4.2,51.55?4.65 and 52.13?5.27,52.75?5.18, respectively. There was no statistically significant difference between the two groups（P>0.05）. The SAS and SDS scores after nursing of the control group and experimental group were 47.77?4.02,47.91?4.49 and 29.02?2.37,30.73?2.30 respectively . There were statistical differences between the two groups before and after the nursing (P<0.05). Moreover, there were statistically significant differences in SAS and SDS between the experimental group and the control group after nursing (P<0.05). The satisfaction rate of the control group and the experimental group was 56% and 92%, respectively, and there were statistically significant differences between the two groups (P<0.05).
Conclusion: PDCA nursing model can significantly ease the anxiety and depression of ERCP patients, improve the satisfaction of patients and improve the nursing quality. It can be widely used in patients with ERCP. |
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