[摘要]目的 對防范重度高危跌倒風險患者采取PDCA循環(huán)管理干預的應用價值進行研究及判定。方法 選取我院2015年2月～2016年1月收治的120例重度高危跌倒風險患者作為研究對象，依據(jù)管理措施實施方案予以分類為對照組和觀察組，每組各60例。對照組患者實施常規(guī)護理管理，觀察組在常規(guī)護理管理的基礎上實施PDCA循環(huán)管理，并將組間經相應管理方案實施的跌倒率、護理滿意度評分、護理管理質量評分及生活質量情況進行比較。結果 觀察組經PDCA循環(huán)管理干預后跌倒率為3.33%，低于對照組的23.33%（P<0.05），護理滿意度為100.00%，高于對照組的73.33%（P<0.05），且生活質量各項情況亦較對照組具有顯著優(yōu)勢，差異均有統(tǒng)計學意義（P<0.05）。結論 對防范重度高危跌倒風險患者采取PDCA循環(huán)管理干預的應用價值顯著，可降低跌倒率，提高其生活質量，可提高護理滿意度，值得在臨床中推廣實施。
　　[關鍵詞]重度高危跌倒；風險防范；PDCA循環(huán)；跌倒率；生活質量
　　[中圖分類號] R473 [文獻標識碼] A [文章編號] 1674-4721（2018）2（b）-0185-03
　　Application value analysis of PDCA cycle management in preventing patients with severe high risk of tumble
　　LI Chun-ni ZENG Gui-hua
　　Department of Cardiology，Shanwei People′s Hospital，Guangdong Province，Shanwei 516600，China
　　[Abstract]Objective To study and determine the application value of PDCA cycle management intervention for patients with severe high risk of tumble.Methods A total of 120 patients with severe high risk of tumble treated in our hospital were selected as research objects from February 2015 to January 2016.According to different management measures，they were evenly divided into control group and observation group，60 cases in each group.In the control group，conventional nursing management was applied，while in the observation group，on the basis of the conventional nursing，PDCA cycle management was added.The rate of falling，nursing satisfaction score，score of nursing management quality，and quality of life between the two groups were compared.Results In the observation group，after PCDA cycle management intervention，the rate of falling down was 3.33%，lower than that in the control group accounting for 23.33%（P<0.05）.The nursing satisfaction was 100.00% in the observation group，higher than that in the control group （73.33%） （P<0.05）.The quality of life also had significant advantages in the observation group compared with the control group （P<0.05）.Conclusion The application of PDCA cycle management intervention to prevent severe high-risk tumble has a significant value.It can reduce the falling rate and improve the quality of life，so as to improve the nursing satisfaction，which is worthy of promotion in clinical practice.
　　[Key words]Severe high risk of tumble；Risk prevention；PDCA cycle；Falling rate；Quality of life
　　跌倒主要為不自主、非故意及突發(fā)的體位變化，當患者合并其他疾病時，跌倒易加重疾病創(chuàng)傷，加速疾病進展，使得患者的心理負擔加劇[1]，不利于治療的順利進行，故臨床中對于跌倒的風險進行防范尤為重要。本研究為探討PDCA循環(huán)管理在防范重度高危跌倒風險患者中的應用價值分析，選取重度高危跌倒風險患者作為研究對象，對其實施不同護理管理方案的效果進行對比、分析，現(xiàn)報道如下。
　　1資料與方法

相關熱詞搜索：跌倒 患者 防范 循環(huán) 風險