首页|探讨PDCA循环在预防眼科患者术后发生跌倒风险中的效果研究

探讨PDCA循环在预防眼科患者术后发生跌倒风险中的效果研究

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目的 探讨PDCA循环在预防眼科患者术后发生跌倒风险中的效果研究。方法 选择2021年1月至2021年12月眼科手术患者3 450例为对象,根据时间点分为对照组(2021年1月至2021年6月,n=1 600)和观察组(2021年7月至2021年12月,n=1 850)。对照组采用常规方法干预,观察组联合PDCA循环干预,两组均完成3个月干预,比较两组跌倒发生率、跌倒损伤程度、自我效能水平及满意度。结果 观察组干预3个月期间21例发生跌倒(发生率1。14%)低于对照组43例发生跌倒(发生率2。69%)(P<0。05);观察组跌倒损伤程度低于对照组(P<0。05),表现为0级病例数多于对照组(P<0。05);观察组干预3个月后事件应对、目标达成及个体解决问题得分高于对照组(P<0。05);观察组干预3个月后从预防措施、服务态度、预防效果、陪护制度、防跌倒制度满意度高于对照组(P<0。05)。结论 PDCA循环在预防眼科术后患者跌倒风险中效果较好,有助于降低术后跌倒发生率,减轻跌倒损伤,提高患者自我效能水平,可获得较高的满意度,值得推广应用。
Effectiveness of PDCA circulation in preventing the risk of falls in patients after ophthalmic surgery
[Objective]To investigate the effectiveness of plan-do-check-action(PDCA)circulation in preventing the risk of falls after ophthalmic surgery.[Methods]A total of 3450 patients undergoing ophthalmic surgery from January 2021 to December 2021 were selected and divided into control group(January 2021 to June 2021,n=1600)and observation group(July 2021 to December 2021,n=1850).The control group adopted the conventional intervention,and the observation group combined with PDCA cycle intervention.Both groups completed the 3-month intervention to compare the incidence of falls,fall injury degree,self-efficacy level and satisfaction of the two groups.[Results]Twenty-one falls occurred in the 3-month intervention in the observation group,the incidence(1.14%)was lower than that of 43 falls in the control group(2.69%)(P<0.05).The degree of fall injury in the observation group was lower than that in the control group(P<0.05),and the number of grade 0 cases was more than that of the control group(P<0.05).The observation group had higher scores on event response,goal achievement and individual problem solving after 3 months of intervention than the control group(P<0.05).After 3 months of intervention,the satisfaction of preventive measures,service attitude,prevention effect,escort system and fall prevention system was higher than that of the control group(P<0.05).[Conclusion]PDCA circulation has better results in preventing fall risk in patients after ophthalmic surgery,helps to reduce the incidence of postoperative falls,reduce fall injury,improve the level of patient self-efficacy,and can obtain high satisfaction,which is worthy of promotion and application.

PDCA circulationafter ophthalmic surgeryfall riskdegree of fall injuryself-efficacysatisfaction

王妍妍、姚溪、李珊珊、裴欢欢

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河南省人民医院(河南省护理医学重点实验室河南省立眼科医院郑州大学人民医院/河南大学人民医院)眼科手术室,河南郑州 450003

PDCA循环 眼科术后 跌倒风险 跌倒损伤程度 自我效能 满意度

2024

中国医学工程
中国医药生物技术协会 卫生部肝胆肠外科研究中心

中国医学工程

影响因子:0.504
ISSN:1672-2019
年,卷(期):2024.32(2)
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