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PDCA循环模式对降低住院精神病患者保护性约束率的影响

Effect of PDCA cycle on reducing protective constraint rate of hospitalized psychiatric patients

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【作者】 巢丽红赵惠英王秀霞唐晓芳朱珏

【Author】 CHAO Li-hong;ZHAO Hui-ying;WANG Xiu-xia;TANG Xiao-fang;ZHU Jue;

【机构】 苏州市广济医院

【摘要】 目的探讨PDCA循环模式对降低住院精神病患者保护约束率的影响。方法选取我院2016年3月至2018年3月住院精神病患者98例,随机等分为观察组和对照组,对照组采用常规干预管理,试验组采用PDCA循环模式(对存在的问题进行排查-提出解决问题方案-最后付诸实施-问题得以改善的步骤进行实施),比较两组患者保护性约束患者约束平均次数、每次约束平均时间、保护约束率。结果试验组保护性约束患者约束平均次数少于对照组(P <0. 05),每次约束平均时间短于对照组(P <0. 05),保护约束率明显少于对照组(P <0. 05)。结论对住院精神病患者进行PDCA循环模式可以有效降低患者的保护约束率,对提高本科室的整体工作质量具有积极意义。

【Abstract】 Objective To explore the effect of PDCA cycle on reducing protective constraint rate of hospitalized psychiatric patients. Methods To compare the average number of constraints,the average time per constraint,and the protection constraint rate of patients with protective constraints,98 cases of psychiatric patients admitted to our hospital from March 2016 to March 2018 were observed,and were randomly divided into study group and control group with equal members The control group adopted the routine intervention management,while the study group adopted the PDCA cycle( targeting problems by the procedure of troubleshooting-planning-action-improvement).. Results The average number of constraints in the protective patients of the study group was less than that of the control group( P < 0. 05). The average time per constraint was shorter than that of the control group( P < 0. 05),and the protective constraint rate was significantly less than that of the control group( P < 0. 05). Conclusion The application of PDCA cycle for hospitalized psychiatric patients could effectively reduce the protective constraint rate of patients,and had positive significance for improving the overall work quality of the department.

【基金】 苏州市科技发展计划(SYSD2014133)
  • 【文献出处】 护理实践与研究 ,Nursing Practice and Research , 编辑部邮箱 ,2018年22期
  • 【分类号】R473.74
  • 【被引频次】3
  • 【下载频次】269
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