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目的探讨PDCA(质量管理循环体系)护理模式在回肠新膀胱术后肠梗阻中的临床效果。方法选取2012年7月至2014年6月在我院进行治疗的回肠新膀胱术后肠梗阻患者86例,随机分为对照组和观察组,对照组采用常规的护理模式,观察组在对照组的基础上采用PDCA护理模式,比较两组患者的护理效果、恢复情况、满意度以及并发症的发生情况。结果观察组护理的总有效率为93.02%,明显高于对照组的74.42%,两组相比具有统计学意义(P<0.05);观察组患者的下床时间、住院时间以及并发症的发生情况明显低于对照组,两组相比具有统计学意义(P<0.05);观察组患者护理后肠道恢复情况、患者的满意度、并发症的发生情况明显优于对照组,两组相比具有显著性差异(P<0.05)。结论对回肠新膀胱术后肠梗阻的患者采用PDCA的护理模式,能够有效的增加护理效果,并发症的发生情况明显降低,患者的生活质量得到明显提高,值得在临床上推广应用。
Objective To investigate the clinical effect of PDCA (Quality Management Circulation System) nursing model on intestinal obstruction after ileal neo-bladder surgery. Methods Totally 86 patients with ileal neobladder postoperative ileus treated in our hospital from July 2012 to June 2014 were randomly divided into the control group and the observation group. The control group received the conventional nursing model. The observation group in the control group Based on the use of PDCA nursing model to compare the two groups of patients with care, recovery, satisfaction and complications occurred. Results The total effective rate of the observation group was 93.02%, which was significantly higher than that of the control group (74.42%), the two groups were statistically significant (P <0.05). The observation group’s bed time, hospital stay and complications The situation was significantly lower than the control group, the two groups was statistically significant (P <0.05); observation group patients with intestinal recovery after care, patient satisfaction, complications occurred significantly better than the control group, two groups There was significant difference (P <0.05). Conclusion The PDCA nursing model for patients with intestinal obstruction after neo-ileal ileus can effectively increase the nursing effect. The incidence of complications is significantly reduced. The quality of life of the patients is significantly improved, which is worth popularizing in clinic.