PDCA循环式护理干预对肛瘘术后患者的影响  

Using the PDCA cycle to improve the rehabilitation of postoperative patients with anal fistula

作　　者：资青兰[1] 张炎[1] 张焕玲[1] 刘志敏[1] 戴映妃[1] 匡姣[1] 王秋喆[1] 曹晓君[1] 

机构地区：[1]广州市第一人民医院,510180

出　　处：《中国实用护理杂志（下旬版）》2009年第6期28-29,共2页Chinese Journal of Practical Nursing

摘　　要：目的探讨PDCA循环式护理干预对肛瘘术后患者的影响，旨在促进患者的康复，预防再次复发。方法将144例肛瘘切开或挂线术后的患者，采用抽签法随机分为观察组和对照组各72例。观察组采用PDCA循环式的护理干预，对照组予传统式单纯的口头宣教，比较2组的康复时间、复发率、教育内容的掌握情况、自我管理能力，采用t检验和X^2检验。结果教育期间，观察组对教育内容的掌握情况、自我管理能力显著优于对照组；随访3。24个月，观察组比对照组康复时间快、复发率低。结论PDCA循环式护理干预可提高肛瘘切开或挂线术后患者的相关知识掌握程度，促进康复、减少复发，提高患者的生活质量。Objective To evaluate the PDCA cycle on the rehabilitation of postoperative patients with anal fistula, aiming at improving the recovery of patients and preventing recurrence. Methods 144 postoperative patients of anal fistula were randomly divided into the observation group and the control group with 72 cases in each group. The observation group received intervention based upon the PDCA cycle, and the control group was given the traditional oral propaganda. The recovery time, recurrence rate, mastering of education content and self-control ability were compared in the two groups using t test and X^2 test. Results The mastering level of education content and the self-management skills in the observation group were superior to those of the control group. After 3 to 24 months of follow-up, the observation group showed shorter recovery time and less recurrence rate than that of the control group. Conclusions Nursing intervention based upon PDCA cycle can strengthen the patients＇ mastering of related knowledge, promote the recovery, reduce recurrence rate and improve the patients＇ quality of life.

关 键 词：PDCA循环法 健康教育 肛瘘 手术 

分 类 号：R473.6[医药卫生—护理学] R47[医药卫生—临床医学]