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目的 应用戴明环(Plan-Do-Check-Action,PDCA)及认知行为疗法对寻常型天疱疮患者进行全面质量管理并进行评价.方法 对入选的寻常型天疱疮患者应用认知行为疗法进行护理,并用PDCA质量管理办法制定监测计划与方案,解决治疗过程中新出现问题和上一循环遗留问题.结果 出院后6个月和1年时,观察组与对照组患者比较,依从性(x2=9.32和7.94)、心理状况(x2=9.32和7.94)、不良反应(x2=12.00和12.27)及复发率(x2=11.89和7.94),差异有统计学意义(P均＜0.05).结论 采用PDCA联合认知行为疗法实施全面质量持续改进,可增加寻常型天疱疮患者的依从性,并能改善患者的心理状态和减少复发率.“,”Objective To canry out total quality management and evaluation for pemphigus vulgaris patients with Plan-Do-Check-Action cycle and cognitive behavior therapy.Methods Provided care for selected pemphigus vulgaris patients with cognitive behavioral therapy and formulate monitoring plans.Also used programs with PDCA (Plan-Do-Check-Action) quality management method to resolve emerging issues during the cycle and remaining issues from the previous cycle.Results At 6 months and 12 months after discharge the comparison of observation group and control group showed differences in the comphance (x2 =9.32 and 7.94), psychological status (x2 =9.32 and 7.94), side effects (x2 =12.00 and 12.27)and recurrence rate (x2 =11.89 and 7.94).Differences were statistically different (P ＜ 0.05) between two groups.Conclusion The compliance and psychological states could be improved and the recurrence rate of the pemphigus vulgaris reduced by the PDCA of cognitive behavior therapy through continuous quality management.