摘要
目的:探讨PDCA循环在冠状动脉旁路移植术后患者运动康复中的应用效果。方法:选取在北京市某三级甲等医院心脏中心接受择期冠状动脉旁路移植手术患者100例,将其随机等分为试验组和对照组。对照组采用冠状动脉搭桥术后常规护理,试验组在常规护理的基础上同时采用PDCA循环进行术后运动康复干预措施,通过西雅图心绞痛量表和6 min步行试验在出院3个月后分别评估干预后效果。结果:经PDCA循环干预后,试验组患者在出院3个月后躯体受限程度、心绞痛稳定状态、心绞痛发作状况、疾病认识程度4个维度的评分明显优于对照组;试验组出院3个月后6 min步行试验结果优于对照组,两组比较差异有统计学意义(P<0.05)。结论:PDCA循环在冠状动脉旁路移植术后患者运动康复中应用效果良好,能明显改善冠状动脉旁路移植术后患者的心功能,提高患者生活质量,促进患者康复。
Objective ： To investigate the effect of PDCA cycle applications in exercise rehabilitation in patients with coronary artery bypass grafting. Methods ： To select a tertiary level hospital in central Beijing undergoing elective heart coronary artery bypass graft surgery 100 patients were randomly divided into ex- perimental group and control group. The control group with coronary artery bypass surgery routine care, the experimental group while used PDCA cycle in routine postoperative care on the basis of sports rehabilitation interventions, through the Seattle Angina Scale and 6 rain walk test and evaluated the interven- tion effect of patients who discharged from the hospital three months. Results ： The PDCA cycle after the intervention, the experimental group of patients dis- charged from the hospital after 3 months of physical limitation, stable angina pectoris state, angina attack, the cognition level of disease four dimension scores were significantly better than the control group ; and the 6 rain walk test results was better than the control group, the difference between the two groups has statistical significance （ P 〈 0.05 ）. Conclusion ： PDCA circulation in coronary artery bypass grafting after exercise training in patients with application effect is good, can significantly improve the heart function in patients after coronary artery bypass grafting, improve the quality of life of patients, and promote the rehabilitation of patients.
出处
《护理实践与研究》
2016年第1期1-4,共4页
Nursing Practice and Research
