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PDCA循环管理模式提升精神分裂症缓解期患者康复护理质量的效果观察

  • 李虹娟,贾莉娜,刘小娟,樊淑洁,宋小爱

* 通信作者: 贾莉娜, 单位:西安市精神卫生中心妇女心理卫生一科

摘要

【摘要】
目的观察PDCA循环管理模式提升精神分裂症缓解期患者康复护理质量的效果。

方法 选取2016年1月至2017年1月我院收治的精神分裂症缓解期患者110例为研究对象,采用随机数表法分为观察组和对照组各55例,对照组给予常规护理,观察组在此基础上述采取PDCA循环管理模式,应用阳性和阴性症状量表(PANSS)、社会功能缺陷筛查量表(SDSS)、生活质量评定量表(LQOL)比较两组干预前后精神症状、社会功能、生活质量,应用护士用住院病人观察量表(NOSIE)、匹茨堡睡眠质量指数量表(PSQI)、蒙特利尔认知评估量表(MoCA)评估两组护理质量、睡眠状态及认知功能,同时对比两组护理满意度、跌倒事件发生率。

结果 观察组干预后PANSS评分(28.23±1.12)分、SDSS(8.10±1.24)分均较对照组显著降低,观察组干预后LQOL评分(86.12±1.13)分高于对照组(P<0.05);观察组干预后NOSIE评分(89.34±2.10)分、PSQI评分(4.10±1.29)分低于对照组,观察组MoCA评分(28.89±1.01)分与对照组比较明显较高(P<0.05);观察组护理满意度96.36%较对照组83.64%高(P<0.05);观察组跌倒事件发生率5.45%与对照组18.18%比较明显较低(P<0.05)。

结论 PDCA循环管理模式应用于精神分裂症缓解期可有效改善其精神症状、社会功能、生活质量,提高其睡眠质量、认知功能及护理质量,减少跌倒事件发生率,值得在临床推广应用。

关键词:【关键词】PDCA循环管理模式;精神分裂症;缓解期;护理质量

ABSTRACT

[Abstract]
Objective To observe the effects of PDCA cycle management model in improving the rehabilitation nursing quality of patients with remitted schizophrenia.

MethodsA total of 110 cases of patients with remitted schizophrenia treated in the hospital during January 2016 ~ January 2017 were enrolled in the study. They were divided into the observation group and the control group by random number table method, 55 cases in each group. The control group were given routine nursing, while the observation group were additionally given PDCA cycle management model nursing. The psychiatric symptoms, social function and quality of life were evaluated with the Positive And Negative Syndrome Scale (PANSS), social disability screening scale (SDSS) and quality of life scale (LQOL). The nursing quality, sleep and cognitive function were evaluated with the Nurses’ Observation Scale for Inpatient Evaluationscale (NOSIE), Pittsburgh sleep quality index (PSQI) and Montreal cognitive assessment scale (MoCA). The nursing satisfaction and incidence of falls were compared between the two groups.

ResultsAfter the intervention, the PANSS score and SDSS score of the observation group were significantly lower than those of the control group while the LQOL scorewas higher than that of the control group (P<0.05). After the intervention, NOSIE score and PSQI score of the observation group were lower and MoCA score was significantly higher than those of the control group (P<0.05). The nursing satisfaction of observation group was higher than the control group (96.36% vs 83.64%) (P<0.05). The incidence of falls was significantly lower in the observation group than the control group (5.45% vs 18.18%) (P<0.05).

Conclusion  The application of PDCA cycle management model in patients with remitted schizophrenia can relieve the psychiatric symptoms, improve social function, quality of life, sleep quality, cognitive function and nursing quality and reduce the incidence of falls. It is worthy of clinical application.

Key words: Key words: PDCA cycle management model; Schizophrenia; Remitted; Nursing quality

引用本文 / How to Cite This Article

李虹娟,贾莉娜,刘小娟,樊淑洁,宋小爱.PDCA循环管理模式提升精神分裂症缓解期患者康复护理质量的效果观察[J]. 国际精神病学杂志, , (): -

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