PDCA 模式在高龄骨折患者压疮预防中的应用

陈珊，徐丽娜

（西安市第四医院，陕西 西安，710004）

浏览次数：97次 下载次数：470次

摘要：

目的 探究PDCA 模式在高龄骨折患者压疮预防中的应用方法及效果。方法 选取我院收治的66 例高龄骨折患者作为 研究对象，随机分为对照组和观察组，各33 例。对照组患者予以常规护理，观察组患者予以PDCA 模式护理，比较两组患者 护理效果。结果 观察组的疾病、预防、康复三维度得分及压疮知识总分均高于对照组（P<0.05）；观察组压疮发生率为12.1%，对照组压疮发生率为48.5%，组间差异有统计学意义（P<0.05）；观察组对压疮的健康信念水平高于对照组（P<0.05）。结论 PDCA 模式在高龄骨折患者压疮预防中的应用效果显著，值得临床推广。

关键词：骨折；压疮预防；PDCA 模式

中图分类号：R473文献标志码：A文章编号：2096-1413(2018)02-0191-02

Application of PDCA mode in prevention of bedsore in senile patients with fracture


CHEN Shan
(Xi``an No.4 Hospital, Xi``an 710004, China)

ABSTRACT: Objective To investigate the application of PDCA mode in prevention of bedsore in senile patients with fracture. Methods Sixty -six senile patients with fracture admitted in our hospital were selected randomly divided into control group and observation group, with 33 cases in each group. The control group received routine nursing, and the observation group was given PDCA mode nursing. The clinical effects between the two groups were compared. Results The scores of disease, prevention, rehabilitation knowledge and total scores in the observation group were higher than those in the control group (P<0.05). The incidence rate of bedsore in the observation group was 12.1%, and that of the control group was 48.5%, the difference was statistically significant (P<0.05); the health belief level of bedsore of the observation group was significantly higher than that of the control group (P<0.05). Conclusion The application of PDCA mode in prevention of bedsore in elderly patients with fracture is effective, and it is worthy of clinical promotion.
KEYWORDS: fracture; bedsore prevention; PDCA mode

参考文献：
[1] 殷伟,方水秀,全艳,等.综合管理模式在老年患者防治压疮中的应用[J].健康之路,2013,12(6):200-201.
[2] 姜彩莲,宋爽.应用程序化护理管理模式对老年患者实施压疮管理的效果评价[J].中国当代医药,2013,20(10):137-138.
[3] 林俊,李怡,袁月环,等.医院—社区—家庭管理模式在农村社区老年人院前压疮管理中的应用[J].护理管理杂志,2016,16(10):737-739.
[4] 张兰香,吴红琴,王速敏.PDCA 循环管理法在康复病区压疮预防护理管理中的应用[J].齐齐哈尔医学院学报,2015,36(11):1679-1681.
[5] 刘艳琼,杨桂春,付军.老年患者压疮护理中集束化护理管理的应用价值探析[J].大家健康旬刊,2016,32(2):218.
[6] 牛冬花,张海燕,赵娟.PDCA 循环在连续性血液净化治疗患者压疮护理管理中的应用效果[J].中西医结合护理:中英文,2015,1(2):97-98.
[7] 孟勤英.压疮的病因及预防护理措施[J].求医问药:下半月刊,2012,10(1):273.
[8] 吴泽秀,佘秋群,严小览,等.PDCA 循环应用于住院患者压疮预防质量管理的实践与成效[J].国际护理学杂志,2015,36(23):3254-3256.
[9] 丁琴芬.PDCA 在提高卧床患者预防压疮翻身落实率中的应用[J].医药前沿,2016,6(8):302-303.
[10] 吴美清,林勇.优质护理服务中实施PDCA 管理模式的临床体会[J].中国现代医生,2015,53(2):124-127.
[11] 刘洋.PDCA 循环模式在压疮护理管理中的应用效果分析[J].中国医药指南,2016,14(29):285-286.