世界睡眠医学杂志2024,Vol.11Issue(6) :1246-1248.DOI:10.3969/j.issn.2095-7130.2024.06.017

PDCA循环管理联合健康教育提高老年脑卒中患者依从性及睡眠质量研究

Study on Improving Compliance and Sleep Quality of Elderly Stroke Patients with PDCA Circulation Management Combined with Health Education

郑裔云
世界睡眠医学杂志2024,Vol.11Issue(6) :1246-1248.DOI:10.3969/j.issn.2095-7130.2024.06.017

PDCA循环管理联合健康教育提高老年脑卒中患者依从性及睡眠质量研究

Study on Improving Compliance and Sleep Quality of Elderly Stroke Patients with PDCA Circulation Management Combined with Health Education

郑裔云1
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作者信息

  • 1. 惠安县医院神经内科,惠安,362100
  • 折叠

摘要

目的:综合分析在老年脑卒中患者中采用计划-执行-检查-行动(PDCA)循环管理联合健康教育的干预方式对其依从性及睡眠质量的影响.方法:选取2022年7月至2023年7月惠安县医院收治的老年脑卒中患者90例作为研究对象,按照随机数字表法分为对照组和观察组,每组45例.2组均实施常规治疗与健康教育,观察组加以PDCA循环管理.对2组的依从性进行比较,并比较2组干预前、后的匹兹堡睡眠质量指数(PSQI)、阿森斯失眠量表(AIS)与多导睡眠脑电图(PSG)指标.结果:观察组的总依从性(97.78%)高于对照组(84.44%),差异有统计学意义(P<0.05);干预后,观察组的PSQI、AIS评分低于对照组,差异有统计学意义(P<0.05);PSG指标中,观察组的总睡眠时间(TST)、睡眠效率(SE)高于对照组,快速动眼期(REM)潜伏期低于对照组,差异有统计学意义(P<0.05).结论:在老年脑卒中患者中采用PDCA循环管理联合健康教育的干预方式能够改善依从性水平,并促进睡眠质量的改善,值得推广应用.

Abstract

Objective:To comprehensively analyze the impact of PDCA cycle management combined with health education inter-vention on compliance and sleep quality in elderly stroke patients.Methods:A study was conducted on 90 elderly stroke patients admitted from Hui'an County Hospital between July 2022 and July 2023.They were randomly divided into a control group(45 ca-ses)and an observation group(45 cases)using a random number table method.Both groups received routine treatment and health education,while the observation group received PDCA cycle management.Compare the compliance of two groups and compare the Pittsburgh Sleep Quality Index(PSQI),Asens Insomnia Scale(AIS),and polysomnography(PSG)indicators before and after in-tervention.Results:The total compliance of the observation group(97.78%)was higher than the control group(84.44%),the difference was statistically significant(P<0.05);After intervention,compared to control group,the PSQI and AIS scores in the observation group were lower,the difference was statistically significant(P<0.05).In terms of PSG indicators,the total sleep time(TST)and sleep efficiency(SE)in the observation group were higher than those in the control group,and the latency of rapid eye movement(REM)was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:The intervention of PDCA cycle management combined with health education in elderly stroke patients can improve compliance levels and promote improvement in sleep quality,which is worthy of promotion and application.

关键词

脑卒中/老年人/PDCA循环管理/健康教育/依从性/睡眠质量/护理/预后

Key words

Stroke/the elderly/PDCA cycle management/Health education/Compliance/Sleep quality/Nursing/Prognosis

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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