基于PDCA循环的自我护理模式对胃溃疡患者康复效果及生存质量的影响

李曼 代杰 马艳茹 纪天慧

【摘要】 目的：探讨基于PDCA循环的自我护理模式对胃溃疡患者康复效果及生存质量的影响。方法：选择2018年1-12月在笔者所在医院消化科接受治疗的114例消化性溃疡患者作为研究对象，采用随机数字表法将其分为对照组和观察组，每组57例。对照组采取常规护理，观察组采用基于PDCA循环的自我护理模式进行护理干预。比较两组康复效果及生存质量。结果：观察组康复总有效率高于对照组，生存质量评分高于对照组，差异均有统计学意义（P<0.05）。结论：基于PDCA循环的自我护理模式，可有效提高胃溃疡患者的康复效果和生存质量。

【关键词】 PDCA循环 自我护理 胃溃疡 康复效果 生存质量

doi：10.14033/j.cnki.cfmr.2019.30.033 文献标识码 B 文章编号 1674-6805（2019）30-00-02

[Abstract] Objective： To explore the effect of self-care model based on PDCA cycle on the rehabilitation and quality of life of gastric ulcer patients. Method： A total of 114 patients with gastric ulcer who were treated in the department of digestion of our hospital from January to December 2018 were selected as the research objects. They were divided into the control group and the observation group by random number table method， with 57 cases in each group. The control group adopted routine nursing， and the observation group adopted self-care model based on PDCA cycle for nursing intervention. The rehabilitation effect and quality of life of two groups were compared. Result： The total effective rate of rehabilitation in the observation group was higher than that in the control group， and the quality of life scores were higher than those in the control group， and the differences were statistically significant （P<0.05）. Conclusion： The self-care model based on PDCA cycle can effectively improve the rehabilitation effect and quality of life of patients with gastric ulcer.

[Key words] PDCA cycle Self-care Gastric ulcer Rehabilitation effect Quality of life

First-authors address： Hongqi Hospital Affiliated to Mudanjiang Medical College， Mudanjiang 157000， China

胃溃疡在广义角度是指发生在胃角、胃窦、贲门和裂孔疝等部位的溃疡，其致病因素较为复杂，如幽门螺杆菌感染、长期服用皮质类固醇和阿司匹林等药物、精神紧张焦虑、生活饮食结构不合理和遗传因素等均可致病[1-3]。患者发病后，典型的临床症状表现为餐后1 h内出现上腹部疼痛，在1～2 h可自行缓解，后期若未得到有效控制和缓解，可出现胃出血、穿孔甚至引发癌变[4]。在胃溃疡患者的治疗上，主要以口服丙谷胺和硫糖铝等药物治疗配合调理饮食为主，虽然具有一定的效果，但部分患者由于治疗依从性较差等原因，可出现病情反复等情况。为了有效解决此问题，笔者所在医院消化内科对胃溃疡患者采取基于PDCA循环的自我护理模式进行护理干预，经过为期1年的护理实践，护理效果显著，现报道如下。

1 资料与方法

1.1 一般资料