信息系统管理联合PDCA模式对帕金森病患者负性情绪和生活质量的影响  

Effect of information system management combined with PDCA on negative emotions and quality of life in patients with Parkinson＆#39;s disease

作　　者：许明珠[1] 孟海红[2] 田文静[3] 

机构地区：[1]济宁医学院附属医院病理科,济宁272029 [2]济宁医学院附属医院入院服务中心,济宁272029 [3]济宁医学院附属医院神经内科,济宁272029

出　　处：《中华现代护理杂志》2017年第19期2526-2529,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨信息系统管理联合PDCA模式对帕金森病患者负性情绪和生活质量的影响.方法 选择2014年7月—2016年6月在笔者所在医院住院治疗的帕金森病患者232例为研究对象,按照随机数字表法分为观察组和对照组,各116例.对照组实施常规护理;观察组在常规护理的基础上实施信息系统管理联合PDCA护理模式干预.分别于患者入院时、干预3个月后到院复查时进行抑郁评分、认知功能和生活质量调查.结果 入院时两组患者的抑郁评分差异无统计学意义（t=0.965,P=0.102）;干预后观察组患者的抑郁评分明显低于对照组,差异有统计学意义（t=3.359,P=0.001）.干预前两组患者认知评估量表评分差异无统计学意义（t=1.254,P=0.068）,干预后,观察组患者的认知功能评分明显高于对照组,差异有统计学意义（t=4.021,P〈0.001）.观察组患者在生理功能、心理功能、社会功能、环境适应能力及总生活质量上的得分改善情况均高于对照组患者,差异均有统计学意义（t值分别为5.274、4.667、4.277、4.148、3.957;P均〈0.01）.结论 信息系统管理联合PDCA模式护理干预可改善帕金森病患者的负性情绪,提高患者的生活质量.Objective To explore the effect of information system management combined with PDCA on negative emotion and quality of life in patients with Parkinson＇s disease.Methods Totally of 232 patients with Parkinson＇s disease who were hospitalized in Affiliated Hospital of Ji＇ning Medical University from July 2014 to June 2016 were selected and divided into observation group and control group according to the random number table, with 116 cases in each group. The control group was given routine mental health education, while the observation group was treated with the combination of PDCA and nursing intervention on the basis of routine nursing. The scores of depression, cognitive function and quality of life were measured and evaluated at three months after admission.Results At the time of admission, scores of depression showed no significant difference between two groups （t=0.965,P=0.102）; after the intervention, the score of depression in the observation group was significantly lower than that in the control group, and the difference was statistically significant （t=3.359, P=0.001）. Before the intervention, the score of cognitive assessment scale showed no significant difference between two groups （t=1.254,P=0.068）; after the intervention, cognitive function score in the observation group was significantly higher than that in the control group, and the difference was statistically significant （t=4.021, P〈0.001）. The scores of physiological function, psychological function, social function, environmental adaptability and total quality of life in the observation group were improved significantly higher than those in the control group, and the differences were statistically significant （t=5.274, 4.667, 4.277, 4.148, 3.957;P〈0.01）.Conclusions Information system management combined with PDCA mode nursing intervention can improve the negative emotions and the quality of life of patients with Parkinson＇s disease.

关 键 词：信息系统 帕金森病 生活质量 负性情绪 

分 类 号：R473.74[医药卫生—护理学]