PDCA管理模式对半月板损伤患者自我健康管理及生活质量的效果分析

The Effect of PDCA Management Mode on Self-Health Management and Quality of Life of Patients with Meniscus Injury

摘要: 目的：观察PDCA模式对半月板损伤患者的健康管理以及生活质量的疗效。方法：本研究通过前瞻性研究，收集2021年1月至2022年12月期间三沙市半月板损伤患者(n = 40)，随机分为对照组(n = 20)和观察组(n = 20)。入组后统一评定建档，干预3个月。对照组进行基础健康管理，每4周进行常规随访。观察组在基础管理上，采用PDCA循环模式管理。通过评价ICF框架中能量驱动、情感、移动、痛觉等对患者进行治疗前后比较。采用SPSS 26.0软件进行数据分析，计数以n表示，正态计量资料以(X ± S)表示，采用t检验；一般情况采用率及百分比表示、χ²检验；采用P < 0.05为差异有统计学意义。结果：经治疗后，半月板损伤患者的能量和驱力功能、睡眠质量、到处移动、痛觉、娱乐和休闲等与治疗前比较，差异均有统计学意义(P < 0.05)，如厕姿势转换、步行两组差异无统计学意义(P > 0.05)。结论：通过PDCA模式对半月板损伤患者能量驱动、疼痛、睡眠等方面均有改善，有助于提高患者对疾病认知及康复的自我健康管理，促进患者生活质量的提高。

Abstract: Objective: To observe the effect of PDCA model on health management and quality of life in patients with meniscus injury. Methods: In this prospective study, patients with meniscus injury (n = 40) in Sansha City from January 2021 to December 2022 were collected and randomly divided into control group (n = 20) and observation group (n = 20). After enrollment, a unified assessment was made and the intervention lasted for 3 months. The control group received basic health management and routine follow-up every 4 weeks. On the basis of basic management, the observation group adopts PDCA cycle mode. Patients were compared before and after treatment by evaluating energy drive, emotion, movement and pain perception in the ICF framework. SPSS 26.0 software was used for da-ta analysis, counting was represented by n, normal measurement data were repre- sented by (X ± S), and t-test was adopted. General adoption rate and percentage expression, χ²- test; P < 0.05 was used as the difference was statistically significant. Results: After treatment, there were statistically significant differences in energy and drive function, sleep quality, moving around, pain perception, recreation and leisure in patients with meniscus injury compared with those before treatment (P < 0.05), while there were no statistically significant differences in potty-changing and walking be-tween the two groups (P > 0.05). Conclusion: PDCA can improve energy drive, pain, sleep and other aspects of patients with meniscus injury, which is helpful to improve patients’ disease cognition and self-health management of rehabilitation, and promote the improvement of patients’ quality of life.