PDCA循环管理模式在改善留置T管引流患者焦虑情绪中应用.docVIP

PDCA循环管理模式在改善留置T管引流患者焦虑情绪中应用 　　[摘要] 目的 探讨PDCA循环管理模式对改善留置T管引流患者焦虑情绪的作用。 方法 将60例T管引流患者分为实验组（2013年9月～2014年3月）和对照组（2013年3～8月），对照组采用常规护理方法，实验组在常规护理的基础上，运用PDCA循环法对患者进行护理。采用国际认证的Zung焦虑自评量表于术后第3天及出院后拔管前1 d进行焦虑评分，采用科室医护人员设计的《留置T管患者满意度调查表》进行满意度评价。比较两组患者的焦虑及满意度情况。 结果 实验组和对照组术后第3天评分分别为（46.25±9.49）、（51.08±10.66）分，组间比较，差异无统计学意义（P = 0.069）;拔管前1 d评分分别为（41.58±7.95）、（47.83±6.92）分，组间比较，差异有高度统计学意义（P = 0.002）。实验组患者拔管前1 d焦虑程度评分明显低于术后第3天，差异有统计学意义（P = 0.043）;对照组患者拔管前1 d焦虑程度评分稍低于术后第3天，差异无统计学意义（P = 0.167）。实验组拔管前1 d满意度为96.67%，对照组满意度为80.00%，实验组满意度高于对照组，差异有统计学意义（P = 0.049）。 结论 采用PDCA循环管理模式可减轻患者的焦虑情绪，提高患者满意度。 　　[关键词] PDCA循环管理模式;T管;焦虑 　　[中图分类号] R472 [文献标识码] B [文章编号] 1673-7210（2015）01（a）-0113-04 　　Application of PDCA cycle management model in improving patients′anxiety in patients with T tube drainage 　　ZHOU Chunjiao LIU Ming▲ LIN Lijun CAI Shixia LI Shufen ZOU Xiujuan CAI Bingqin 　　Department of Hepatopancreatobiliary， Guangdong Provincial Hospital of Tradition Chinese Medicine， Guangdong Province， Guangzhou 510120， China 　　[Abstract] Objective To explore the PDCA cycle management model for improving the role of patients′anxiety in patients with T tube drainage. Methods 60 cases with T tube drainage were randomly divided into experimental group （from September 2013 to March 2014， using conventional care method + applying PCDA cycle management） and control group （from March to August 2013， using conventional care method）. The anxiety score was adopted by Zung self-rating anxiety scale in the third day after surgery and the day before removing tube. The satisfaction was evaluated by the indwelling T tube patients′satisfaction questionnaire designed by medical staff. The anxiety situation and satisfaction in two groups were compared. Results The scores were （46.25±9.49） scores and （51.08±10.66） scores in experimental group and control group in the third day after surgery， there was no statistically significant difference （P = 0.069）. The scores were （41.58±7.9