标准化护理流程联合PDCA循环管理在重症监护室心力衰竭患者中的应用

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中文摘要：目的:探讨标准化护理流程联合PDCA循环管理在重症监护室(intensive care unit，ICU)心力衰竭患者中的应用。方法:选取 2022 年 1 月—2023 年 12 月清华大学附属北京清华长庚医院收治的 110 例ICU心力衰竭患者。根据随机数表法将其分为对照组(n=54)和观察组(n=56)。对照组采用常规护理，观察组采用标准化护理流程联合PDCA循环管理。比较两组护理前后生命体征、生活质量，时间指标，护理满意度。结果:护理后，两组收缩压、舒张压均升高，心率降低，观察组收缩压、舒张压均高于对照组，心率低于对照组，差异有统计学意义(P＜0。05)。观察组住ICU时间、总住院时间均短于对照组，差异有统计学意义(P＜0。05)。护理后，两组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分均升高，观察组生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康评分均高于对照组，差异有统计学意义(P＜0。05)。观察组护理总满意度为 96。43%，高于对照组的 83。33%，差异有统计学意义(P＜0。05)。结论:标准化护理流程联合PDCA循环管理能维持ICU心力衰竭患者生命体征稳定，缩短住院时间，有效改善患者生活质量，且护理满意度更高。

外文标题：Application of Standardized Nursing Procedures Combined with PDCA Circular Management in Patients with Heart Failure in Intensive Care Unit

外文摘要：Objective:To investigate the application of standardized nursing procedures combined with PDCA circular management in patients with heart failure in intensive care unit(ICU).Method:A total of 110 ICU patients with heart failure admitted to Beijing Tsinghua Changgung Hospital Affiliated to Tsinghua University from January 2022 to December 2023 were selected.They were divided into control group(n=54)and observation group(n=56)according to random number table method.The control group was treated with routine nursing,and the observation group was treated with standardized nursing procedures combined with PDCA circular management.The vital signs,quality of life before and after nursing,time index and nursing satisfaction were compared between the two groups.Result:After nursing,the systolic blood pressure and diastolic blood pressure of both groups increased,while the heart rate decreased,the systolic blood pressure and diastolic blood pressure of the observation group were higher than those of the control group,and the heart rate was lower than that of the control group,the differences were statistically significant(P＜0.05).The length of ICU stay and total hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P＜0.05).After nursing,the scores of physiological function,role function,body pain,general health,vitality,social function and emotional job and mental health of both groups were increased,and the scores of physiological function,role function,body pain,general health,vitality,social function and emotional job and mental health of the observation group were higher than those of the control group,the differences were statistically significant(P＜0.05).The total satisfaction of nursing in the observation group was 96.43%,which was higher than 83.33%in the control group,the difference was statistically significant(P＜0.05).Conclusion:Standardized nursing procedures combined with PDCA circular management can maintain stable vital signs of ICU patients with heart failure,shorten length of hospital stay,effectively improve the quality of life of patients,with higher nursing satisfaction.

外文关键词：

Intensive care unitHeart failureStandardized nursing proceduresPDCA circular management

作者：

翟星月、周浩、张晓娜、张晶

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作者单位：

清华大学附属北京清华长庚医院北京 102218

关键词：

重症监护室心力衰竭标准化护理流程 PDCA循环管理

出版年：

2024

DOI：