PDCA循环在急性期脑卒中患者体位护理中的应用  

Application of PDCA circulation in position care for acute stage stroke patients

作　　者：崔显超 肖文武[1] 刘淼[1] 李伟[1] 

机构地区：[1]三峡大学人民医院湖北省宜昌市第一人民医院康复科,湖北宜昌443000

出　　处：《中西医结合护理（中英文）》2017年第9期129-132,共4页Journal of Clinical Nursing in Practice

基　　金：三峡大学高等教育研究项目(1645)

摘　　要：目的探讨PDCA循环在急性期脑卒中患者体位护理中的应用效果。方法 90例急性脑卒中患者分为对照组和观察组,各45例。对照组给予常规护理,同时配合早期康复训练,观察组在对照组基础上应用PDCA循环法改善体位护理质量。比较2组干预前后患者家属对抗痉挛体位摆放的认知度,观察2组干预后体位摆放的依从性。结果干预后2组患者家属抗痉挛体位摆放认知度均优于治疗前(P<0.01),且观察组患者家属认知度优于对照组(P<0.01);观察组患者依从率高于对照组(P<0.05)。结论 PDCA循环管理法能有效的提高患者家属对抗痉挛体位摆放的认知度,使患者保持良好的体位摆放,对早期康复具有积极意义。Objective To investigate the application of PDCA circulation in position care for acute stage stroke patients. Methods Totally 90 acute stage stroke patients were assigned to the observation group and the control group,with 45 cases in each group. Both two groups received conventional care and early stage rehabilitation exercise,and the PDCA circulation was carried out to improve the quality of position care in the observation group. The awareness of family members on anti-spasticity position and the compliance of taking anti-spasticity position were observed and compared between two groups. Results There were significant differences in the cognition of families members on anti-spasticity position in the two groups before and after intervention（ P〈0. 05）,and was better improved in family members of patients from the observation group than those of patients from control group（ P〈0. 01）. The compliance rate of taking anti-spasticity position was higher in the observation group than that of controls（ P〈0. 05）. Conclusion PDCA circulation can improve the compliance of taking anti-spasticity position in acute stage stroke patients.

关 键 词：PDCA循环 脑卒中 抗痉挛体位 康复护理 

分 类 号：R473.5[医药卫生—护理学]