基于PDCA循环管理干预对发热门诊患者心理应激的影响  

Effect of PDCA cycle management intervention on psychological stress of fever outpatient patients

作　　者：朱芳芳 ZHU Fangfang(Fever Outpatient,the Third People's Hospital of Zhengzhou,Zhengzhou 450052,China)

机构地区：[1]郑州市第三人民医院发热门诊,河南郑州450052

出　　处：《临床医学研究与实践》2025年第8期158-161,共4页Clinical Research and Practice

摘　　要：目的分析基于计划-执行-检查-处理(PDCA)循环管理干预对发热门诊患者心理应激的影响。方法选取我院发热门诊2023年1月至6月收治的178例患者为研究对象,按照入院时间不同将其分为对照组(2023年1月至3月)和观察组(2023年4月至6月),每组89例。对照组给予常规护理,观察组在对照组基础上给予基于PDCA循环管理干预。比较两组的发热知识掌握情况、心理应激反应、候诊时间、体温恢复至正常时间、不良事件发生情况及照顾者护理满意度。结果观察组的发热知识掌握优良率高于对照组,差异具有统计学意义(P<0.05)。干预后,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。观察组的候诊时间、体温恢复至正常时间短于对照组,差异具有统计学意义(P<0.05)。观察组的不良事件总发生率低于对照组,差异具有统计学意义(P<0.05)。观察组照顾者的护理满意度高于对照组,差异具有统计学意义(P<0.05)。结论基于PDCA循环管理干预应用于发热门诊患者能提高疾病知识认知度,减轻心理应激反应,缩短候诊时间,促进疾病康复进程,降低不良事件发生率,提升照顾者的护理满意度。Objective To analyze the effect of plan-do-check-act(PDCA)cycle management intervention on psychological stress of fever outpatient patients.Methods A total of 178 patients admitted in the fever outpatient of our hospital from January to June 2023 were selected as the research objects.According to the different admission time,the patients were divided into control group(January to March 2023)and observation group(April to June 2023),with 89 cases in each group.The control group was given routine nursing,and the observation group was given PDCA cycle management intervention on the basis of the control group.The mastery of fever knowledge,psychological stress response,waiting time,time of body temperature returing to normal,adverse events and nursing satisfaction of caregivers were compared between the two groups.Results The excellent and good rate of fever knowledge mastery in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the two groups decreased,and those of the observation group were lower than the control group,the differences were statistically significant(P<0.05).The waiting time and body temperature recovery time of the observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of caregivers in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The PDCA cycle management intervention applied in fever outpatient patients can improve the awareness of disease knowledge,reduce psychological stress response,shorten the waiting time,promote the process of disease rehabilitation,reduce the incidence of adverse events,and imp

关 键 词：PDCA循环管理 发热门诊 心理应激 

分 类 号：R473[医药卫生—护理学]