PDCA循环式护理对乙肝病毒感染患者生存质量的影响分析

杨正波

[摘要] 目的 對PDCA循环式护理在乙肝病毒感染患者中应用后对患者生存质量的影响进行探讨。方法 方便选取该院2015年1月—2017年1月期间收治的360例乙型肝炎病毒感染患者进行研究，随机将患者分为观察组与对照组，各180例，对照组患者治疗期间给予常规护理干预，观察组患者在对照组护理基础上应用PDCA循环式护理干预，对两组患者护理效果进行对比。结果 在肝病知识掌握情况方面，观察组饮食、运动及疾病监测等指标评分分别为（9.26±1.41）分、（8.69±1.24）分、（9.34±1.42）分，均高于对照组，差异有统计学意义（P<0.05）；生存质量方面，观察组全身症状、焦虑及活动等指标评分分别为（6.41±1.09）分、（7.06±1.24）分、（6.62±1.28）分，均高于对照组，差异有统计学意义（P<0.05）；护理满意度方面，观察组（98.33%）明显高于对照组（87.78%），差异有统计学意义（P<0.05）。结论 在乙肝病毒感染患者住院期间应用PDCA循环式护理，可提高患者对肝病知识的掌握程度，有效改善患者生存质量，护理满意度较高，在临床中值得推广应用。

[关键词] 乙肝病毒感染；PDCA循环式护理；生存质量

[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2018）03（c）-0134-03

Analysis of Effect of PDCA Circulation Nursing on the Survival Quality of Patients with Hepatitis b Virus Infection

YANG Zheng-bo

Department of Infection， Wenshan Peoples Hospital， Wenshan， Yunnan Province， 663000 China

[Abstract] Objective To analyze the effect of PDCA circulation nursing on the survival quality of patients with hepatitis b virus infection. Methods 360 cases of patients with hepatitis b virus infection admitted and treated in our hospital from January 2015 to January 2017 were convenient selected and randomly divided into two groups with 180 cases in each， the control group used the routine nursing intervention during treatment， while the observation group applied the PDCA circulation nursing intervention on the basis of the control group， and the effect was compared between the two groups. Results The dieting， exercise and disease monitoring scores were respectively （9.26±1.41）marks，（8.69±1.24）marks，（9.34±1.42）marks， which were higher than those in the control group， and the differences were statistically significant（P<0.05）， and the general symptom， anxiety and motor scores in the observation group were respectively （6.41±1.09）marks，（7.06±1.24）marks，（6.62±1.28）marks， which were higher than those in the control group， and the differences were statistically significant（P<0.05）， and the nursing satisfactory degree in the observation group was obviously higher than that in the control group， （98.33% vs 87.78%）， and the difference was statistically significant（P<0.05）. Conclusion The application of PDCA circulation nursing of patients with hepatitis b virus infection during the length of stay can improve the mastery degree of liver disease knowledge， and effectively improve the survival quality and the nursing satisfactory degree is higher， and it is worth clinical promotion and application.

[Key words] Hepatitis b virus infection； PDCA circulation nursing； Survival quality

乙型肝炎属于慢性传染性疾病，因病毒侵入所引起，患者体内乙肝病毒长期存在，且持续繁殖，对患者肝功能会造成极大的损害，导致慢性乙型肝炎的发生。目前，乙型肝炎在我国发病率逐渐升高，如果对病情控制不佳，极有可能引起肝功能衰竭、肝硬化等并發症发生，因此临床中需要给予患者及时的治疗[1]。PDCA循环式护理是当前临床中新型护理模式的一种，该护理体系具有标准化、科学化的特点，按照计划、实施、检查、处理这一过程不断循环，达到护理质量提升的目的。该组研究针对该院2015年1月—2017年1月期间收治的360例乙型肝炎病毒感染患者进行研究，对PDCA循环式护理模式的应用效果进行探讨，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的360例乙型肝炎病毒感染患者进行研究，随机将患者分为观察组与对照组，各180例。……