PDCA护理模式应用于腹腔镜胃穿孔修补术中的临床效果观察(1)
摘 要：目的 探讨PDCA护理模式应用于腹腔镜胃穿孔修补术中的效果。方法 选择2015年12月～2017年12月在我院进行腹腔镜胃穿孔修补术的患者40例，分为观察组与对照组各20例。对照组采用常规护理，观察组采用PDCA护理模式进行护理，比较两组住院时间、排气时间及肠鸣音恢复时间、并发症发生情况，并采用VAS疼痛评分评价术后疼痛情况。结果 观察组护理后平均排气、肠鸣音恢复、住院时间及并发症发生率分别为(23.65±1.97)h、(22.18±2.13)h、(6.05±1.43)d、15.00%，均低于对照组的(29.71±2.28)h、(28.65±2.09)h、(8.73±1.82)d、40.00%，差异有统计学意义(P<0.05);观察组术后1 d和3 d的VAS评分为(4.97±0.94)分、(3.85±0.72)分均低于对照组(6.83±1.30)分、(5.81±0.86)分，差异有统计学意义(P<0.05)。结论 行腹腔镜胃穿孔修补术治疗的胃穿孔患者实施PDCA护理模式，能够有效降低痛感，减少围术期不良事件的发生，促进患者康复。
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关键词：PDCA护理模式;胃穿孔修补术;并发症;VAS疼痛评分
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.042
文章编号：1006-1959(2018)24-142-03
Abstract：Objective To investigate the effect of PDCA nursing mode in laparoscopic gastric perforation repair.Methods 40 patients undergoing laparoscopic gastric perforation repair from December 2015 to December 2017 in our hospital were divided into observation group (n=20) and control group (n=20).Routine nursing was used in the control group and PDCA nursing model was used in the observation group. The hospitalization time， exhaust time， recovery time of bowel sound and complications were compared between the two groups. The postoperative pain was evaluated by VAS pain score.Results In the observation group， the average exhaust， bowel sound recovery， hospitalization time and incidence of complications were (23.65±1.97) h， (22.18±2.13) h， (6.05±1.43) d，15.00%， respectively，all of them were significantly lower than those of the control group (29.71±2.28) h， (28.65 ±2.09) h， (8.73 ±1.82) d，40.00%， the difference was statistically significant(P<0 05).The VAS scores of the observation group at 1 and 3 d after operation were (4.97±0.94) and (3.85±0.72)， which were lower than those in the control group (6.83±1.30) and (5.81±0.86)，the difference was statistically significant(P<0.05). Conclusion The implementation of PDCA nursing mode in patients with gastric perforation treated with laparoscopic gastric perforation can effectively reduce the pain， reduce the occurrence of perioperative adverse events， and promote the recovery of patients.
Key words：PDCA nursing model;Gastric perforation repair;Complications;VAS pain score
胃穿孔(gastric perforation)如不及時进行治疗，可导致穿孔周围脓疮，对患者的危害较大[1]。目前该病主要采用传统开腹手术和腹腔镜胃穿孔修补术进行治疗。然而临床护理方式对患者的预后也起到决定性的作用，PDCA护理模式是一种新型的护理概念，要求在工作中不断的完善护理方法、方式，为患者提供优质的服务。本课题选择2015年12月～2017年12月在我院进行腹腔镜胃穿孔修补术的胃穿孔患者40例，探讨PDCA护理模式应用于腹腔镜胃穿孔修补术中的临床效果，报道如下。, 百拇医药(熊红妹)
, http://www.100md.com
关键词：PDCA护理模式;胃穿孔修补术;并发症;VAS疼痛评分
中图分类号：R473.6 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.042
文章编号：1006-1959(2018)24-142-03
Abstract：Objective To investigate the effect of PDCA nursing mode in laparoscopic gastric perforation repair.Methods 40 patients undergoing laparoscopic gastric perforation repair from December 2015 to December 2017 in our hospital were divided into observation group (n=20) and control group (n=20).Routine nursing was used in the control group and PDCA nursing model was used in the observation group. The hospitalization time， exhaust time， recovery time of bowel sound and complications were compared between the two groups. The postoperative pain was evaluated by VAS pain score.Results In the observation group， the average exhaust， bowel sound recovery， hospitalization time and incidence of complications were (23.65±1.97) h， (22.18±2.13) h， (6.05±1.43) d，15.00%， respectively，all of them were significantly lower than those of the control group (29.71±2.28) h， (28.65 ±2.09) h， (8.73 ±1.82) d，40.00%， the difference was statistically significant(P<0 05).The VAS scores of the observation group at 1 and 3 d after operation were (4.97±0.94) and (3.85±0.72)， which were lower than those in the control group (6.83±1.30) and (5.81±0.86)，the difference was statistically significant(P<0.05). Conclusion The implementation of PDCA nursing mode in patients with gastric perforation treated with laparoscopic gastric perforation can effectively reduce the pain， reduce the occurrence of perioperative adverse events， and promote the recovery of patients.
Key words：PDCA nursing model;Gastric perforation repair;Complications;VAS pain score
胃穿孔(gastric perforation)如不及時进行治疗，可导致穿孔周围脓疮，对患者的危害较大[1]。目前该病主要采用传统开腹手术和腹腔镜胃穿孔修补术进行治疗。然而临床护理方式对患者的预后也起到决定性的作用，PDCA护理模式是一种新型的护理概念，要求在工作中不断的完善护理方法、方式，为患者提供优质的服务。本课题选择2015年12月～2017年12月在我院进行腹腔镜胃穿孔修补术的胃穿孔患者40例，探讨PDCA护理模式应用于腹腔镜胃穿孔修补术中的临床效果，报道如下。, 百拇医药(熊红妹)