应用PDCA循环方案培训护士对住院难治性肺结核患者的影响  

PDCA cycling scheme application on training nurses impacting on hospitalized patients with refractory pulmonary tuberculosis

作　　者：樊学英[1] 刘玉芹[2] 赵静[3] 

机构地区：[1]山东省滨州市中心医院护理部,251700 [2]山东省滨州市中心医院内分泌科,251700 [3]山东省滨州市中心医院肿瘤科,251700

出　　处：《中华现代护理杂志》2015年第28期3395-3398,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨应用PDCA循环方案培训护士对住院难治性肺结核患者的影响. 方法 选取100例难治性肺结核患者作为研究对象,根据患者接受的护理方式将患者分为对照组和观察组,每组各50例. 对照组给予常规护理,观察组给予PDCA循环法培训护士后护理方式,评价两组护士在培训前后对难治性肺结核疾病的理论知识以及操作技巧的评分,比较两组患者遵医行为情况以及自我效能.结果 培训后,25名护士的理论成绩及操作技能评分均有提升,与培训前比较,差异有统计学意义（ t值分别为10. 583,12. 457;P＜0. 01）. 护理后,观察组患者的遵医指引、营养以及休息、药物治疗、防护措施以及定期检查的遵医例数明显地高于对照组,差异有统计学意义（ t值分别为18. 438,11. 237,13. 462, 15. 442,19. 598;P＜0. 01）. 观察组患者的不适应证、遵医服药、准时复查、情绪管理、合理休息、饮食管理以及自我效能总分的评分均明显高于对照组,差异有统计学意义（ t 值分别为4. 561,4. 016,5. 128, 5. 815,4. 924,6. 425,13. 521;P＜0. 01）. 结论 PDCA循环方案培训法不仅可以有效地促进护士的理论知识以及操作技能,还可以有效改善患者的遵医行为和自我效能。Objective To explore the effects of PDCA cycling scheme application for nurses and hospital patients with refractory pulmonary tuberculosis. Methods A total of 100 patients with refractory pulmonary tuberculosis were selected as the research objects, and were divided into control group and observation group according to the nursing mode of patients accepted, each group of 50 cases. The patients of control group were given conventional nursing, while the patients of observation group were treated the nursing mode by nurses who trained PDCA cycling method. Before and after training, nurses in two groups were examined the theoretical knowledge and operative skills of refractory pulmonary tuberculosis and the scores of exam were compared between two groups. The medical compliance and self-efficacy were compared between two groups. Results After the training , the theoretical knowledge and operative skills of refractory pulmonary tuberculosis scores of 25 nurses were obviously higher than those of before （t=10. 583, 12. 457;P〈0. 01）. After nursing in the observation group, patients′ medical compliance, nutrition and rest, drug treatment, protective measures and incidences of regular check on time were apparently higher than those of the control group （t=18. 438, 11. 237, 13. 462, 15. 442, 19. 598;P 〈0. 01）. The scores of no indications, taking medication as order, regular check on time, mood management, reasonable rest, diet management and self-efficacy in the observation group were apparently higher than those of the control group （ t =4. 561, 4. 016, 5. 128, 5. 815, 4. 924, 6. 425, 13. 521;P〈0. 01）. Conclusions The PDCA cycling training method not only can effectively promote the nurse theoretical knowledge and skills, but also can effectively improve the patients compliance and self-efficacy, so it is worth to promote the clinical promotion.

关 键 词：PDCA循环法 难治性肺结核 护理效果 

分 类 号：R473.5[医药卫生—护理学]