PDCA理论在初发脑梗死患者出院后运动行为中的改善作用  

Effects of PDCA theory on motor behavior of patients with primary cerebral infarction after discharging from hospital

作　　者：王冉冉[1] 刘秀娟[1] 陆晓静 WANG Ranran;LIU Xiujuan;LU Xiaojing(The First Hospital of Qinhuangdao City,Hebei,Qinhuangdao 066001,China)

机构地区：[1]河北省秦皇岛市第一医院,066001

出　　处：《河北医药》2021年第4期592-595,共4页Hebei Medical Journal

基　　金：秦皇岛市科学技术研究与发展计划(编号:201703A201)。

摘　　要：目的研究PDCA理论在初发脑梗死患者出院后运动行为中的改善作用。方法根据随机数字表法将2018年5月至2019年4月接收的初发脑梗死患者120例分为2组,对照组60例采取常规出院指导,观察组60例实施PDCA理论。将2组的运动行为改善情况、自我护理能力评分、认知功能评分、肢体运动功能评分、日常生活活动能力评分、生活质量评分、随访情况进行比对。结果观察组患者出院后6个月后的运动行为改善率高于对照组,差异有统计学意义(P<0.05);观察组患者出院6个月后的ESCA评分、LOTCA评分、FMA评分、MBI评分以及QLI评分均高于对照组,差异有统计学意义(P<0.05);观察组患者的再发脑梗死率、脑梗死后出血发生率、再次住院率均低于对照组,差异具有统计学意义(P<0.05)。结论在初发脑梗死患者出院后应用PDCA理论可有效改善其生活行为方式和肢体运动功能,还有助于认知功能、日常生活活动能力以及生活质量的提高,能够减少脑血管意外事件的发生和降低再次住院率。Objective To investigate the effects of PDCA theory on motor behavior of patients with primary cerebral infarction after discharging from hospital.Methods According to the random number table method,the 120 patients with primary cerebral infarction who were treated in our hospital from May 2018 to April 2019 were divided into two groups,with 60 cases in each group.The patients in control group were given routine guidance after discharging from hospital,however,the patients in observation group were treated according to PDCA theory.The improvement status of motor behavior,self-care ability score,cognitive function score,limb motor function score,activity of daily living score,life quality score were observed and compared between the two groups.Results The improvement rate of motor behavior at 6 months after discharging from hospital in observation group were significantly higher than those in control group(P<0.05),and the ESCA scores,LOTCA scores,FMA scores,MBI scores and QLI scores in observation group were significantly higher than those in control group(P<0.05).However the recurrence rate of cerebral infarction and hemorrhage,as well as the rehospitalization rate in observation group were significantly lower than those in control group(P<0.05).Conclusion The application of PDCA theory for the patients with cerebral infarction after discharging from hospital can effectively improve patient’s lifestyle and limb motor function,improve the cognitive function,activities of daily living and life quality of patients,and reduce the incidence of cerebrovascular accidents and rehospitalization rate.

关 键 词：脑梗死 PDCA 出院 运动行为 

分 类 号：R743.33[医药卫生—神经病学与精神病学]