[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.
关键词
PDCA循环/眼科术后/跌倒风险/跌倒损伤程度/自我效能/满意度
Key words
PDCA circulation/after ophthalmic surgery/fall risk/degree of fall injury/self-efficacy/satisfaction
维普
万方数据