PDCA联合ABC管理在慢性心力衰竭患者健康教育中的应用效果  

Effect of health education intervention based on the PDCA model combined with ABC management for patients with chronic heart failure

作　　者：张静娟[1] 李倩 陈蕾 魏娟 ZHANG Jingjuan;LI Qian;CHEN Lei(Department of Cardiovascular Diseases,Wujin Hospital of TCM,Jiangsu,Changzhou 213000,China)

机构地区：[1]江苏省常州市武进中医医院心血管病科,213000

出　　处：《河北医药》2024年第14期2172-2175,共4页Hebei Medical Journal

基　　金：江苏省常州市武进区科技计划项目(编号:WS201719)。

摘　　要：目的 探讨慢性心力衰竭患者健康教育中应用PDCA联合ABC(A级为最优先的目标,B级为较为重要的目标,C级为不甚重要的目标)管理的干预效果。方法 选取2021年1月至2022年4月我院收治的慢性心力衰竭患者82例,按随机数字表法分2组,每组41例。对照组采用常规健康教育干预,观察组采用PDCA联合ABC管理的方法进行健康教育干预,比较2组的自我管理能力、生活质量、健康教育满意度和护患信任程度。结果 观察组和对照组干预后的自我管理能力量表中饮食、药物、症状管理及心理和社会适应等维度的评分分别为(13.02±1.63)分、(16.39±1.81)分、(16.59±1.92)分、(17.50±1.75)分和(11.89±1.89)分、(14.28±1.91)分、(14.57±1.76)分、(14.78±1.68)分,与对照组比较,观察组干预后的自我管理能力评分升高更为明显(P<0.05)。观察组和对照组干预后的健康调查简表中心理、躯体、物质和生活功能等维度的评分分别为(73.22±5.13)分、(72.25±5.09)分、(77.31±5.25)分、(78.16±5.17)分和(62.33±5.17)分、(61.25±5.09)分、(63.31±5.26)分、(65.27±5.18)分,与对照组比较,观察组干预后的生活质量评分升高更为明显(P<0.05)。观察组和对照组健康教育满意度总分分别为(91.36±4.22)分和(63.53±4.13)分,观察组健康教育满意度评分高于对照组,差异有统计学意义(P<0.05)。观察组和对照组干预后的护患信任程度得分总分分别为(42.89±3.17)分和(39.12±3.27)分,与对照组比较,观察组干预后的护患信任程度得分升高更为明显(P<0.05)。结论 慢性心力衰竭患者健康教育中应用PDCA联合ABC管理,能提高患者的自我管理能力和生活质量,同时还促进健康教育满意度和护患信任程度提升。Objective To explore the effect of health education intervention based on the PDCA(plan-do-check-act) model combined with ABC(level A is the most prioritized goal,level B is the more important goal,and level C is the less important goal) management for patients with chronic heart failure(CHF).Methods Totally 82 CHF patients admitted to our hospital from January 2021 to April 2022 were enrolled and randomly assigned into control group(n=41) and observation group(n=41),in which they received routine health education intervention and health education intervention based on the PDCA model combined with ABC management,respectively.Self-management ability,quality of life,satisfaction and nurse-patient trust relationship were compared between the two groups.Results After intervention,the four dimension scores of self-management ability questionnaire(SMAQ) including diet management(13.02±1.63 points vs 11.89±1.89 points),drug management(16.39±1.81 points vs 14.28±1.91 points),symptom management(16.59±1.92 vs 14.57±1.76),psychological and social adaptation(17.50±1.75 vs 14.78±1.68) were significantly higher in the observation group than in the control group(P<0.05).After intervention,the four dimension scores of 36-item short-form health survey questionnaire(SF-36) including psychological function(73.22±5.13 points vs 62.33±5.17 points),physical function(72.25±5.09 points vs 61.25±5.09 points),material function(77.31±5.25 points vs 63.31±5.26 points),life function(78.16±5.17 points vs 65.27±5.18 points) were significantly higher in the observation group than in the control group(P<0.05).The satisfaction scores increased notably in the observation group compared with the control group(91.36±4.22 points vs 63.53±4.13 points,P<0.05).The nurse-patient trust relationship score was significantly increased in the observation group relevant to the control group(42.89±3.17 points vs 39.12±3.27 points,P<0.05).Conclusion For CHF patients,health education intervention based on the PDCA model combined with ABC manag

关 键 词：自我管理能力 健康教育 慢性心力衰竭 ABC管理 PDCA模式 

分 类 号：R541.61[医药卫生—心血管疾病]