Application of PDCA cycle in home care for cerebral stroke patients
10.3760/cma.j.issn.1674-2907.2016.10.025
- VernacularTitle:PDCA循环在脑卒中患者居家护理中应用的效果
- Author:
Xiaocong YE
1
;
Juanjuan WANG
;
Meilin LI
;
Junyi GUO
Author Information
1. 325027 温州医科大学附属第二医院神经内科
- Keywords:
Cerebral stroke;
Plan-do-check-action;
Continuing nursing;
Home care
- From:
Chinese Journal of Modern Nursing
2016;22(10):1422-1425,1426
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effects of plan-do-check-action ( PDCA) circle in home care for cerebral stroke patients. Methods We divided the stroke patients of Neurology Department into experimental group and control group with 80 cases in each group randomly. Patients in experimental group were cared by PDCA circle home care, while those in control group received conventional outpatient care which included telephone follow-up and outpatient care. Patients in two groups were compared from daily life ability, compliance, pressure ulcers incidence, and rehospitalization rates in 6 and 12 months after discharged. Results 12 months after discharged, daily life ability score in experimental group was higher than that of control group[(46. 60 ± 10. 98) vs(42. 88 ± 9. 80)] (t = 2. 26,P < 0. 05). Patient′s compliance in experimental group was better than that of control group(P<0. 05). Pressure ulcers incidence in experimental group was obvious lower than that of control group (3. 75% vs 16. 25%) (χ2 =6. 94,P<0. 05). Rates of readmission in experimental group was lower than that of control group (5. 00% vs 16. 25%) (χ2 =5. 33,P<0. 05). Conclusions PDCA circle home care is considered to be an advanced service model with continuing care which can improve the patient′s quality of life, improve patient′s compliance, reduce the incidence of pressure ulcers and readmission rates, reduce the family financial burden and save medical resources.
