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目的探讨PDCA循环管理应用于颅脑损伤患者床上康复中的效果及意义。方法将360例颅脑损伤康复期患者随机分为观察组和对照组。观察组180例,应用PDCA循环管理。对照组180例,采用常规康复训练。比较2组患者治疗前后肌力增减情况以及出院时日常生活活动能力(ADL)情况,并记录2组足下垂、肢体深静脉血栓、坠积性肺炎等并发症发生情况。结果 2组入院时各级肌力构成比差异均无统计学意义(P>0.05);出院时,观察组91例肌力达到Ⅴ级,显著优于对照组的42例(P<0.01)。观察组应用PDCA循环管理后,ADL评分优良率为92.78%,显著优于对照组的78.89%(P<0.01)。观察组并发症发生率仅为6.11%,显著低于对照组的17.78%(P<0.01)。结论PDCA循环理论应用于颅脑损伤康复期患者床上康复中,可有效改善患者肌力、日常生活能力恢复情况,减少并发症发生,效果肯定,值得临床推广应用。
Objective To investigate the effect and significance of PDCA circulation management in rehabilitation of patients with craniocerebral injury. Methods 360 cases of traumatic brain injury rehabilitation were randomly divided into observation group and control group. The observation group of 180 cases, the application of PDCA cycle management. Control group of 180 cases, using routine rehabilitation training. The changes of muscle strength before and after treatment and the activities of daily living (ADL) at discharge were compared between the two groups. The complications such as foot sagging, deep vein thrombosis and hypostatic pneumonia were also recorded. Results At the time of admission, there was no significant difference in the constituent ratio of muscle between the two groups (P> 0.05). At discharge, the muscle strength of the observation group reached V level, which was significantly better than that of the control group (P <0.01). After PDCA cycle management, the excellent and good ADL score was 92.78% in the observation group, which was significantly better than 78.89% in the control group (P <0.01). The incidence of complications in the observation group was only 6.11%, which was significantly lower than that in the control group (17.78%, P <0.01). Conclusions PDCA cycle theory is applied to the rehabilitation of patients with traumatic brain injury in bed, which can effectively improve the patients’ ability to recover muscle strength and daily life, reduce the occurrence of complications, and have definite effect. It is worthy of clinical application.