PDCA循环在慢性乙肝自我管理模式中的应用

Application of PDCA Circulation in Chronic Hepatitis B Self Management Mode

摘要: 目的：讨论研究应用PDCA循环模式对慢性乙肝病人生活质量以及自我行为管理能力的影响与临床意义。方法：选取我院传染科慢性乙肝患者320例。随机分为A、B两组，每组160例。对A组患者行常规回访，包括观察其用药及恢复等情况。对B组患者应用PCDA循环式护理干预模式进行护理。比较两组患者不同护理后治疗依从性及生活质量评分等指标。结果：治疗后应用PDCA护理干预式组其生活质量评分中各项指标评分均显著优于常规护理组患者(P < 0.05)。循环护理干预式组患者自我行为管理能力显著优于常规护理模式组患者(P < 0.05)。结论：应用PCDA循环护理模式式对慢性乙肝病人的治疗及恢复具有重要意义。有助于帮助其了解积极配合治疗的重要性并自觉提高自我行为管理能力。患者可通过护理人员宣传教育指导及患者自我调节促进疾病治疗，可显著提高其生活质量并改善预后情况。

Abstract: Objective: To discuss the effect and the clinical significance of application of PDCA cycle in chronic hepatitis B patients’ quality of life and self management abilities. Methods: 320 patients with chronic hepatitis B were selected in the Infectious Department of our hospital. They were randomly divided into group A and group B. Each group has 160 cases. The patients in group A underwent routine visit, including the observation of the treatment and the recovery. The patients in group B got the care with the PCDA circulation nursing intervention mode. The indices like the compliance and the quality of life score of two groups of patients after different nursing treatments were compared. Results: In the score of the quality of life, the group with the PCDA circulation nursing intervention mode was significantly higher than the routine nursing group (P < 0.05). Self behavior management abilities of the patients in the circulation nursing intervention group were significantly higher than those in routine nursing group (P < 0.05). Conclusions: Treatment with the PCDA circulation nursing mode for patients with chronic hepatitis B is of great significance to restore. It helps them understand that it is importance to actively cooperate with the treatment and consciously improve their self behavior management abilities. Patients can promote the disease treatment, significantly improve the quality of life and improve the prognosis by the education and the guidance of the nurses and the self-control.