PDCA循环在腰椎微创手术患者术后康复健康教育的应用效果评价

发布时间：2018-04-01 08:26

本文选题：PDCA循环　切入点：腰椎微创手术　出处：《中国健康教育》2017年10期

【摘要】：目的评价PDCA循环在腰椎微创手术患者健康教育的应用效果,为腰椎微创手术患者术后康复护理提供参考。方法将2015年10月—2016年1月实施腰椎微创手术的144例患者按就诊时间随机分为2组,每组72例,对照组术后实施常规健康教育,PDCA组按PDCA循环实施健康教育,比较教育前、后患者对康复知识的掌握及康复效果。结果健康教育后,2组康复知识知晓率均高于教育前,差异有统计学意义(P0.05),但PDCA组功能锻炼方法 (80.56%vs 61.11%)、腰围佩戴方法 (75.00%vs 55.56%)、并发症防治方法(72.22%vs 52.78%)、出院指导(79.17%vs 63.89%)知晓率高于对照组,差异有统计学意义(P0.05);出院后7 d,2组腰腿疼痛VAS评分均低于健康教育前(P0.05),但PDCA组VAS评分[(2.76±0.68)分vs(3.87±0.73)分]低于对照组,差异有统计学意义(P0.05);出院后1个月,2组运动功能评分均高于健康教育前,差异有统计学意义(P0.05),但PDCA组自理能力[(31.54±5.32)分vs(26.58±4.76)分]、转移[(16.32±2.54)分vs(13.67±2.65)分]、行走[(11.54±1.78)分vs(8.06±1.66)分]评分高于对照组,差异有统计学意义(P0.05)。结论 PDCA循环应用于腰椎微创手术患者术后康复健康教育中,可提高患者对康复知识的知晓率,改善运动功能,这对患者康复有重要意义。
[Abstract]:Objective to evaluate the effect of PDCA circulation on health education in patients undergoing lumbar minimally invasive surgery. Methods 144 patients undergoing minimally invasive lumbar surgery from October 2015 to January 2016 were randomly divided into two groups, 72 patients in each group. The patients in the control group received routine health education according to the PDCA cycle after operation. The results showed that the awareness rate of rehabilitation knowledge in the two groups after health education was higher than that before and after education. The difference was statistically significant (P 0.05), but the awareness rate of the PDCA group was higher than that of the control group in the functional exercise method (80.56 vs 61.11), the waist wearing method (75.00 vs 55.56g), the prevention and treatment of complications (72.22 vs 52.78) and the discharge guidance (79.17 vs 63.89). At 7 days after discharge, the VAS scores of lumbar and leg pain in the two groups were lower than those before health education, but the VAS scores in the PDCA group [2.76 卤0.68) vs(3.87 卤0.73] were lower than those in the control group. The scores of motor function in two groups were significantly higher than those before health education at 1 month after discharge, but the scores of self-care ability [31.54 卤5.32) vs(26.58 卤4.76], transfer [16.32 卤2.54 vs(13.67 卤2.65], walking [11.54 卤1.78 vs(8.06 卤1.66] in PDCA group were higher than those in control group. Conclusion the application of PDCA circulation in postoperative rehabilitation health education of patients undergoing lumbar minimally invasive surgery can improve the awareness of rehabilitation knowledge and improve motor function, which is of great significance to the rehabilitation of patients.
【作者单位】：宜昌市中心人民医院;
【分类号】：R473.6

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