急性脑梗死诊疗技术规范化应用和医疗质量PDCA循环管理的研究

发布时间：2018-06-07 05:30

本文选题：脑梗死 + 急性　；参考：《河北医药》2017年05期

【摘要】：目的探讨急性脑梗死诊疗技术规范化应用和医疗质量PDCA循环管理。方法选取在该院接受治疗的急性脑梗死患者120例,随机分为观察组和对照组,每组60例。观察组患者应用脑梗死规范化诊疗程序,对照组患者未应用脑梗死规范化诊疗程序,比较2组患者治疗后的NHISS评分以及ADL评分变化情况,将应用脑梗死规范化诊疗程序治疗的60例患者分为A组和B组,每组30例。A组患者给予PDCA循环管理护理,B组患者给予常规护理,比较2组患者护理后的SF-36各维度评分及临床疗效。结果 2组患者治疗前的NIHSS评分及ADL评分比较,差异无统计学意义(P0.05);治疗后2组患者的NHISS评分以及ADL评分明显下降,且观察组低于对照组,差异均有统计学意义(P0.05)。A组患者的心理功能、社会功能、躯体功能、物质生活状态及综合评分明显高于B组,差异有统计学意义(P0.05);A组患者护理后的总有效率为96.67%,B组患者护理的总有效率为66.67%,A组高于B组,差异有统计学意义(P0.05)。结论应用规范化诊疗程序可显著降低患者的NHISS评分和ADL评分,PDCA循环管理护理可显著提高治疗效果,且QOL评分得到显著改善,值得临床推广使用。
[Abstract]:Objective to investigate the standardized application of diagnosis and treatment technique and PDCA circulation management of acute cerebral infarction (ACI). Methods 120 patients with acute cerebral infarction were randomly divided into observation group and control group with 60 cases in each group. The patients in the observation group were treated with standardized diagnosis and treatment procedure of cerebral infarction, while the patients in the control group were not treated with the standardized diagnosis and treatment procedure of cerebral infarction. The changes of NHISS score and ADL score after treatment were compared between the two groups. 60 patients with cerebral infarction were divided into two groups: group A (n = 30) and group B (n = 30). The patients in group B were given routine nursing with PDCA circulation management nursing. The SF-36 scores and clinical efficacy were compared between the two groups after nursing care. Results there was no significant difference in NIHSS score and ADL score between the two groups before and after treatment, the NHISS score and ADL score of the two groups decreased significantly, and the observation group was lower than that of the control group. The scores of psychological function, social function, somatic function, material life state and comprehensive score of group A were significantly higher than those of group B. The total effective rate of nursing in group A was 96.677.The total effective rate of nursing in group A was higher than that in group B, and the difference was statistically significant (P 0.05). Conclusion the application of standardized diagnosis and treatment procedure can significantly reduce the NHISS score and the ADL score PDCA circulatory management nursing can significantly improve the therapeutic effect, and the QOL score is significantly improved, which is worthy of clinical popularization.
【作者单位】：河北省易县医院内三病区;
【分类号】：R473.74

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