Application of PDCA circulation in the patients undergoing liver transplantation
10.3760/cma.j.issn.1674-2907.2012.36.030
- VernacularTitle:PDCA循环管理模式在肝移植患者中的应用
- Author:
Ying YANG
1
;
He-Mei BAO
;
Jing-Ru CHU
;
Ting-Ting WANG
Author Information
1. 解放军医学院护理系
- Keywords:
Liver transplantation;
Compliance;
Quality of life;
PDCA circulation
- From:
Chinese Journal of Modern Nursing
2012;18(36):4427-4431
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of PDCA circulation in the patients undergoing liver transplantation.Methods Apart from 1 of experiment and 3 of control group failed to be followed up,116 cases undergoing liver transplantation in our liver transplant center from April 2009 to May 2011 were divided into the experiment group (n =59) and control group (n =57) by registration order.PDCA circulation was used in the experiment group,but in the control group,routine management mode was used.A self-designed questionnaire about the compliance of liver transplantation and the Satisfaction Degree of Patients to the Nursing Work and Quality of Life Index (QL-Index) were used to investigate at the first follow-up time.Results There was a significant difference between two groups in the aspects of habits and customs,drug-taking compliance,reasonable physical training,self-monitoring and the satisfaction degree of patients to the nursing work [57 vs 44,52 vs 39,51 vs 40,52 vs 40 ; 94.92％ vs 82.46％ ; x2 =6.3096,6.6646,4.5365,5.6991,4.5225,respectively;P ＜ 0.05].Overall life quality score of experimental group (6.52 ± 0.53) was higher than that in control group (4.36 ± 0.78),and the difference was statistically significant (t =17.498,P ＜ 0.05).All the items of QL-Index showed a significantly statistical difference between two groups (P ＜ 0.05).Conclusions Applying PDCA circulation can enhance the compliance and quality of life of patients undergoing liver transplantation and improve their satisfaction degree to the nursing work.
