中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

经皮冠状动脉腔内成形术后给予品质管理循环对患者满意度的影响

张兆侠,王丽,赵红梅

(铜川市人民医院南院,陕西 铜川,727031)

浏览次数:157次 下载次数:476次

摘要:

目的 分析经皮冠状动脉腔内血管成形术(PTCA)后给予品质管理循环(PDCA 循环)对患者满意度的影响。方法 选择2015年1月至2016年3月于我院就诊的行PTCA的患者102例作为研究对象,对所有患者采取计算机随机分组,常规组51例,采取一般护理模式,试验组51例,采取PDCA循环模式,对比两组患者的护理满意度与并发症发生率。结果 试验组护理满意度为94.12%,常规组护理满意度为78.43%,两组比较,差异具有统计学意义(P<0.05);试验组与常规组患者术后并发症 发生率分别为3.92%与15.69%,两组比较,差异具有统计学意义(P<0.05)。结论 对行PTCA 患者术后采取PDCA循环的效果显著,可进一步提高护理满意度,降低术后并发症发生率,从而有助于提高临床护理质量,值得临床应用推广。

关键词:满意度;品质管理循环;经皮冠状动脉腔内血管成形术

中图分类号:R473.6文献标志码:A文章编号:2096-1413(2017)11-0163-02

    Influence of quality management cycle on satisfaction of patients after percutaneous coronary angioplasty
    ZHANG Zhao-xia, WANG Li, ZHAO Hong-mei
    (Tongchuan City People's Hospital, Tongchuan 727031, China)

    ABSTRACT: Objective To analyze the influence of quality management cycle (PDCA cycle) on satisfaction of patients after percutaneous coronary angioplasty (PTCA). Methods The 102 cases of patients after PTCA from January 2015 to March 2016 in our hospital were selected as the study objects, and were divided into the conventional group (n=51) and the experimental group (n=51) according to the computer random grouping scheme. Patients in the conventional group accepted general nursing, and patients in the experimental group accepted PDCA. The incidence rate of complications and nursing satisfaction rate of the two groups were compared. Results The nursing satisfaction rate of the experimental group was 94.12%, which was significantly higher than that of the conventional group (78.43%) (P<0.05). In addition, the incidence rate of postoperative complications in the experimental group and the conventional group were 3.92% and 15.69% respectively, the differences was significant (P<0.05). Conclusion The application of PDCA in patients accepted PTCA canimprove the patients' nursing satisfaction, reduce the incidence rate of postoperative complications, and is also benefi to improve the quality of clinical nursing practice, which is worthy of a wide application.
    KEYWORDS: satisfaction rate; quality management cycle; percutaneous coronary angioplasty

    参考文献:
    [1] 田津伟.经皮冠状动脉腔内成形术治疗冠状动脉多支病变的护理体会[J].包头医学,2012,36(1):52-54.
    [2] 李琰.冠心病介入诊疗术后血管并发症的原因分析及护理对策[J]. 中国实用护理杂志,2011,27(17):22-23.
    [3] 李清,方蘅英,李丽,等.中青年男性急性心肌梗死患者经皮冠状动脉腔内成形术加支架植入术后性健康状况的调查[J].中国实用护理 杂志,2013,29(16):24-26.
    [4] 夏光华.经皮冠状动脉腔内成形术护理体会[J].中外健康文摘,2011,8(18):370-371.
    [5] 高莉.急性心肌梗死介入治疗术中严重并发症的急救护理[J].国际护理学杂志,2012,31(9):1643-1645.
    [6] 狄友华,康格平,王海霞,等.冠心病介入诊疗术后血管并发症的原因分析及护理对策[J].延安大学学报:医学科学版,2012,10(2):67-68.
    [7] 陈嘉妍,陈仙秀.冠状动脉支架置入术后抗凝治疗的观察与护理 [J].医学理论与实践,2011,24(13):1579-1580.
    [8] 刘翠荣,冯娜娜.急性心肌梗死80例术前护理[J].齐鲁护理杂志,2012,18(19):41-42.
    [9] 唐立霞.冠心病心血管介入治疗的临床护理[J].医学信息(下旬刊),2011,24(1):248.
    [10] 陈伟梅.急性心肌梗死行PTCA术后心律失常的监测及护理[J]. 临床合理用药杂志,2011,4(8):95.
    [11] 李艳花,李宏,杨美荣,等.经皮冠状动脉介入治疗54例护理配合 [J].齐鲁护理杂志,2011,17(12):70-71.
    [12] 陈海云.冠状动脉介入治疗85例围术期护理[J].齐鲁护理杂志,2011,17(32):87-88.

上一篇循证护理在预防急性阑尾炎手术后并发症中的应用效果

下一篇健康宣教及心理护理在行微创锥颅血肿清除术脑出血患者中的应用效果