摘要
目的探讨老年压力性损伤管理中应用FOCUS-PDCA模式的干预效果。方法选取2021年1月至2022年6月我院收治的老年压力性损伤高风险患者188例纳入研究,按随机数字表法分2组,每组94例。观察组和对照组分别采用FOCUS-PDCA模式和常规管理模式,比较2组的压力性损伤知识知晓率、压力性损伤发生率、防治措施落实情况、生活质量和护理效果。结果观察组患者压力性损伤知识知晓率为96.81%,高于对照组的80.85%(P<0.05)。观察组压力性损伤发生率为4.26%,低于对照组的18.09%(P<0.05)。观察组的防治措施记录缺陷率为4.26%、落实缺陷率为7.45%和标识缺陷率为5.32%,低于对照组的19.15%、23.40%和18.09%(P<0.05)。2组干预后的生活质量评分均高于干预前,组间比较,观察组高于对照组(P<0.05)。观察组护理记录、护理技术和基础知识等护理效果评分高于对照组(P<0.05)。结论老年压力性损伤管理中应用FOCUS-PDCA模式进行干预,能有效改善压力性损伤防治措施落实情况,提高患者压力性损伤知识知晓率、生活质量、护理效果,降低压力性损伤发生率。
Objective To explore the intervention effect of the Find,Organize,Clarify,Understand,Select-Plan,Do,Check,Act(FOCUS-PDCA)model in the management of stress injury in the elderly.Methods A total of 188 elderly patients with high risk of stress injury admitted to our hospital from January 2021 to June 2022 were included in the study.They were randomly assigned into the observation group(n=94,FOCUS-PDCA model)and control group(n=94,routine management mode).The aim was to compare the awareness rate of stress injury knowledge,incidence rate of stress injury,implementation of prevention and treatment measures,quality of life and nursing effect between the two groups.Results The awareness rate of stress injury in the observation group was significantly higher than that of control group of(96.81%vs 80.85%,P<0.05).The incidence of stress injury in the observation group was significantly lower than that of the control group(4.26%vs 18.09%,P<0.05).The defect rates of records(4.26%vs 19.15%),implementation(7.45%vs 23.40%),and identification(5.32%vs 18.09%)for prevention and control measures in the observation group were significantly lower than those of the control group(P<0.05).The scores of quality of life in the two groups after intervention were significantly higher than those before intervention,and which were significantly higher in the observation group than in the control group(P<0.05).The scores of nursing effect(nursing records,nursing skills and nursing basic knowledge)in the observation group were significantly higher than those of the control group(P<0.05).Conclusion The application of FOCUS-PDCA model in the management of stress injury in the elderly can effectively improve the implementation of prevention and treatment measures,increased the awareness rate of knowledge,quality of life,and nursing effect,and reduce the incidence of stress injury in the patients.
作者
顾吉宏
史发兰
胡加文
许盈波
季丽萍
GU Jihong;SHI Falan;HU Jiawen(Department of General Surgery,the People’s Hospital of Rugao,Jiangsu,Nantong 226500,China)
出处
《河北医药》
CAS
2024年第19期3022-3025,共4页
Hebei Medical Journal
基金
江苏省南通市科技计划项目(编号:MSZ2022040)。
关键词
压力性损伤
FOCUS-PDCA模式
护理技术
管理
防护措施
stress damage
Find,Organize,Clarify,Understand,Select-Plan,Do,Check,Act(FOCUS-PDCA)model
nursing technology
management
protective measures
