PDCA循环管理在防范重度高危跌倒风险患者中的应用价值分析

　　[摘要]目的 对防范重度高危跌倒风险患者采取PDCA循环管理干预的应用价值进行研究及判定。方法 选取我院2015年2月～2016年1月收治的120例重度高危跌倒风险患者作为研究对象，依据管理措施实施方案予以分类为对照组和观察组，每组各60例。对照组患者实施常规护理管理，观察组在常规护理管理的基础上实施PDCA循环管理，并将组间经相应管理方案实施的跌倒率、护理满意度评分、护理管理质量评分及生活质量情况进行比较。结果 观察组经PDCA循环管理干预后跌倒率为3.33%，低于对照组的23.33%（P<0.05），护理满意度为100.00%，高于对照组的73.33%（P<0.05），且生活质量各项情况亦较对照组具有显著优势，差异均有统计学意义（P<0.05）。结论 对防范重度高危跌倒风险患者采取PDCA循环管理干预的应用价值显著，可降低跌倒率，提高其生活质量，可提高护理满意度，值得在临床中推广实施。
　　[关键词]重度高危跌倒；风险防范；PDCA循环；跌倒率；生活质量
　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2018）2（b）-0185-03
　　Application value analysis of PDCA cycle management in preventing patients with severe high risk of tumble
　　LI Chun-ni ZENG Gui-hua
　　Department of Cardiology，Shanwei People′s Hospital，Guangdong Province，Shanwei 516600，China
　　[Abstract]Objective To study and determine the application value of PDCA cycle management intervention for patients with severe high risk of tumble.Methods A total of 120 patients with severe high risk of tumble treated in our hospital were selected as research objects from February 2015 to January 2016.According to different management measures，they were evenly divided into control group and observation group，60 cases in each group.In the control group，conventional nursing management was applied，while in the observation group，on the basis of the conventional nursing，PDCA cycle management was added.The rate of falling，nursing satisfaction score，score of nursing management quality，and quality of life between the two groups were compared.Results In the observation group，after PCDA cycle management intervention，the rate of falling down was 3.33%，lower than that in the control group accounting for 23.33%（P<0.05）.The nursing satisfaction was 100.00% in the observation group，higher than that in the control group （73.33%） （P<0.05）.The quality of life also had significant advantages in the observation group compared with the control group （P<0.05）.Conclusion The application of PDCA cycle management intervention to prevent severe high-risk tumble has a significant value.It can reduce the falling rate and improve the quality of life，so as to improve the nursing satisfaction，which is worthy of promotion in clinical practice.
　　[Key words]Severe high risk of tumble；Risk prevention；PDCA cycle；Falling rate；Quality of life
　　跌倒主要為不自主、非故意及突发的体位变化，当患者合并其他疾病时，跌倒易加重疾病创伤，加速疾病进展，使得患者的心理负担加剧[1]，不利于治疗的顺利进行，故临床中对于跌倒的风险进行防范尤为重要。本研究为探讨PDCA循环管理在防范重度高危跌倒风险患者中的应用价值分析，选取重度高危跌倒风险患者作为研究对象，对其实施不同护理管理方案的效果进行对比、分析，现报道如下。
　　1资料与方法

相关热词搜索：跌倒 患者 防范 循环 风险