论文部分内容阅读
目的探讨PDCA循环模式护理干预改善慢性乙型病毒性肝炎患者生存质量的作用。方法将118例慢性乙型病毒性肝炎患者随机平均分为2组,对照组59例给予常规护理,研究组59例在常规护理的基础上增加PDCA循环护理干预,分别从计划(P)、执行(D)、检查(C)、处理(A)4个方面开始针对生存质量的循环改进护理。在入组时与出院时以生存质量评定量表以及慢性肝病问卷量表(CLDQ)对患者生存质量进行评价。结果 2组护理干预前的角色功能、躯体功能、情绪功能、社会功能、生存质量等维度的生存质量评定量表评分与乏力、腹部症状、全身症状、情感功能、焦虑、活动等维度的CLDQ量表评分比较差异均无统计学意义(P均>0.05),干预后2组各项评分均明显提高(P均<0.05),且研究组治疗后各项评分均明显高于对照组(P均<0.05)。结论 PDCA循环模式护理干预能够有效改进慢性乙型病毒性肝炎患者的护理效果,显著提高患者的生存质量。
Objective To investigate the effect of PDCA cycle nursing intervention on improving the quality of life in patients with chronic hepatitis B virus. Methods One hundred and eighty-eight patients with chronic hepatitis B were randomly divided into two groups randomly. The control group received routine nursing care. The study group consisted of 59 patients with PDCA cyclical nursing intervention on the basis of routine nursing. (D), examination (C), treatment (A) four aspects of quality of life cycle improvement care. The quality of life of patients was evaluated on the quality of life scale and the chronic liver disease questionnaire (CLDQ) at enrollment and at discharge. Results The CLDQ of the two groups were evaluated before and after the intervention such as body function, body function, emotional function, social function, quality of life and other dimensions of QOL scores and fatigue, abdominal symptoms, general symptoms, emotional function, anxiety and activity There was no significant difference between the two groups (P> 0.05). After intervention, the scores of two groups were significantly increased (all P <0.05), and the score of the study group was significantly higher than that of the control group <0.05). Conclusions Nursing intervention with PDCA can effectively improve the nursing effect of patients with chronic hepatitis B and significantly improve the quality of life of patients.