PDCA在提高急诊住院患者用药知晓率的应用效果分析  

Analysis of the Application Effect of PDCA in Improving Medication Awareness among Emergency Inpatients

作　　者：章清琴 廉云 樊凰玉 叶青 林清 伍文秀 杨丽[1] 程艳 

机构地区：[1]南昌大学第一附属医院急诊科,江西 南昌

出　　处：《护理学》2024年第10期1388-1393,共6页Nursing Science

摘　　要：目的:探讨PDCA在提高急诊住院患者用药知晓率中的效果。方法:选取急诊外科2023年11月~2024年2月收治住院的924名患者为研究对象,2023年11月~12月为PDCA管理前,其纳入研究的477名患者为对照组,2024年1月~2024年2月采用PDCA管理后,纳入研究的447名患者为观察组,采用PDCA循环法,通过现状把握、原因分析、制定及规范执行制度、流程,定期培训、督查与考核等针对性方案,对比实施前后护士对药物知识掌握知晓率、患者对药物作用知晓率、护士宣教执行率持续改进差异值有统计学意义(p > 0.05)。结果:实施PDCA前后对本科室80名护士进行调查,护士药物知晓率在PDCA实施前后差异无统计学意义(χ2 =4.095, p> 0.05),护士药物宣教落实率差异有统计学意义(χ2 = 7.059, p χ2 = 33.473, p Objective: To explore the effectiveness of the PDCA in improving medication awareness among emergency inpatients. Methods: A total of 924 inpatients admitted to the emergency surgery department between November 2023 and February 2024 were selected as research subjects. Patients admitted between November and December 2023, totaling 477, were categorized as the control group (pre-PDCA management), while 447 patients admitted between January and February 2024 formed the observation group (post-PDCA management). The PDCA cycle was applied by assessing the current situation, analyzing causes, formulating and standardizing institutional policies and procedures, and conducting regular training, supervision, and assessments. The differences in the improvement of medication knowledge rates among nurses, patient awareness of medication effects, and nurse compliance with education protocols before and after the intervention were statistically analyzed (p > 0.05). Results: Surveys conducted on 80 nurses before and after PDCA implementation showed no statistically significant difference in nurse medication knowledge (χ2 = 4.095, p > 0.05), but there was a statistically significant

关 键 词：PDCA 住院患者 用药宣教 用药知晓率 

分 类 号：R47[医药卫生—护理学]