PDCA循环管理在改善慢性心力衰竭患者容量管理合格率中的应用效果

doi:10.3760/cma.j.cn441417-20240701-01031

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (1): 145-149.DOI: 10.3760/cma.j.cn441417-20240701-01031

PDCA循环管理在改善慢性心力衰竭患者容量管理合格率中的应用效果

吴洁^1,2 王璐^1,2 程怡然^1,2 郭欣欣^1,2 谢赫男^1,2 常陆^1,2

¹河南省人民医院郑州大学人民医院老年医学科，郑州 450003；²河南省护理医学重点实验室，郑州 450003

收稿日期:2024-07-01 出版日期:2025-01-01 发布日期:2025-01-14
通讯作者: 王璐，Email：wanglulu77fu77@163.com
基金资助:
河南省医学科技攻关计划（LHGJ20210022）

Application of PDCA cycle management in improving the qualified rate of volume management in patients with chronic heart failure

Wu Jie^1,2, Wang Lu^1,2, Cheng Yiran^1,2, Guo Xinxin^1,2, Xie Henan^1,2, Chang Lu^1,2

¹Department of Geriatrics, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou 450003, China; ²Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou 450003, China

Received:2024-07-01 Online:2025-01-01 Published:2025-01-14
Contact: Wang Lu, Email: wanglulu77fu77@163.com
Supported by:
Henan Province Medical Science and Technology Research Plan (LHGJ20210022)

摘要/Abstract

摘要：

目的　探讨PDCA循环管理在改善慢性心力衰竭（CHF）患者容量管理合格率中的应用效果，为改善CHF患者容量管理合格率提供科学依据。方法　采用便利抽样法，选取河南省人民医院老年医学科2023年6月26日至7月23日入院的52例CHF患者为对照组［男23例，女29例，年龄（61.36±5.16）岁］，2023年11月1日至12月15日入院、实施PDCA循环后的74例CHF患者为观察组［男37例，女37例，年龄（62.75±4.78）岁］。利用PDCA循环对容量管理合格率进行管理，比较管理前、后患者容量管理合格率的变化情况。结果　观察组实施PDCA循环后，CHF患者容量管理合格率高于对照组［87.11%（223/256）比51.28%（100/195）］，达到目标值。PDCA循环管理对策实施后，病区护士的CHF患者容量管理知识考核合格率为95.00%（19/20），护士健康宣教有效指导率由85.00%（17/20）提升至95.00%（19/20）。结论　应用PDCA循环管理可有效改善CHF患者容量管理合格率，保证患者住院的安全，帮助医护人员提高发现、解决问题的能力。

关键词:

心力衰竭, 容量管理, PDCA

Abstract:

Objective　To explore the application effect of PDCA cycle management in improving the qualified rate of volume management in patients with chronic heart failure (CHF), and to provide scientific basis for taking effective measures to improve the qualified rate of volume management in patients with CHF. Methods　A total of 52 patients with CHF [23 males and 29 females, aged (61.36±5.16) years] who were admitted to the Department of Geriatrics, Henan Provincial People's Hospital from June 26 to July 23, 2023 were selected as the control group by convenience sampling method. A total of 74 CHF patients [37 males and 37 females, aged (62.75±4.78) years] admitted to the hospital from November 1 to December 15, 2023 after PDCA cycle were included in the observation group. PDCA cycle was used to manage the qualified rate of volume management, and the changes in the qualified rate of volume management were compared before and after management. Results　After PDCA cycle, the qualified rate of volume management in CHF patients increased from 51.28% (100/195) to 87.11% (223/256), which reached the target value. The qualified rate of the volume management knowledge assessment of ward nurses for CHF patients was 95.00% (19/20), and the effective guidance rate of nurses' health education was increased from 85.00% (17/20) to 95.00% (19/20). Conclusion　The application of PDCA cycle can improve the qualified rate of volume management in CHF patients more effectively, ensure the patients' safety in hospital more effectively, and help medical staff solve clinical problems better.

Key words:

Heart failure, Volume management, PDCA

吴洁, 王璐, 程怡然, 郭欣欣, 谢赫男, 常陆, .

PDCA循环管理在改善慢性心力衰竭患者容量管理合格率中的应用效果 [J]. 国际医药卫生导报, 2025, 31(1): 145-149.

Wu Jie, Wang Lu, Cheng Yiran, Guo Xinxin, Xie Henan, Chang Lu, .

Application of PDCA cycle management in improving the qualified rate of volume management in patients with chronic heart failure [J]. International Medicine and Health Guidance News, 2025, 31(1): 145-149.

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PDCA循环管理在改善慢性心力衰竭患者容量管理合格率中的应用效果

Application of PDCA cycle management in improving the qualified rate of volume management in patients with chronic heart failure

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