黃春霞 陳小芳 葛雅靜

[摘要] 目的 探討循環(huán)質控理的護理風險管理對Terson綜合征患者疾病知識掌握程度和生活質量的影響。 方法 選取我院2016年6月～2018年3月間采用循環(huán)質控的Terson綜合征患者30例作為研究對象作為觀察組，并回顧性分析2014年6月～2016年5月收治的30例采用常規(guī)護理干預的患者作為對照組，對照組患者給予常規(guī)護理干預，觀察組基于循環(huán)質控給予護理風險管理，比較兩組患者護理風險事件的發(fā)生率、患者疾病知識掌握程度、生活質量的關系。 結果 觀察組患者護理缺陷、護理糾紛、意外事件的發(fā)生率分別為0、3.3%、0，明顯高于對照組，觀察組患者知識掌握率、熟練率分別為33.3%、53.3%，明顯高于對照組，干預后觀察組患者軀體能力、角色狀態(tài)、疼痛感、精力、人際關系、情緒狀態(tài)、心理健康、一般健康狀態(tài)分別為（75.4±8.2）分、（76.9±5.8）分、（76.8±9.5）分、（77.8±9.4）分、（77.8±9.2）分、（77.8±8.3）分、（74.8±8.2）分、（73.4±7.8）分明顯高于對照組，干預后觀察組SAS、SDS評分（38.7±3.5）分和（41.4±2.9）分均明顯低于對照組（P<0.05）。 結論 PDCA循環(huán)質控有助于提高Terson綜合征患者知識掌握度和生活質量。

[關鍵詞] 循環(huán)質控;生活質量;Terson綜合征;知識掌握度

[中圖分類號] R473.77 ? ? ? ? ?[文獻標識碼] B ? ? ? ? ?[文章編號] 1673-9701（2019）13-0138-04

[Abstract] Objective To investigate the effect of cycle quality control nursing risk management on the patient's disease knowledge and quality of life in patients with Terson syndrome using cyclic quality control. Methods 30 patients with Terson syndrome who underwent cyclic quality control from June 2016 to March 2018 in our hospital were selected as the observation group， and 30 cases from June 2014 to May 2016 were retrospectively analyzed and selected as the control group. Patients in the control group were given routine nursing intervention. The observation group was given nursing risk management based on the cycle quality control. The relationship between the incidence of nursing risk events， the mastery of disease knowledge and the quality of life of the two groups was compared. Results The incidence of nursing defects， nursing disputes and accidents in the observation group was 0， 3.3%， and 0， respectively， which was significantly higher than that of the control group. The knowledge acquisition rate and proficiency rate of the observation group were 33.3% and 53.3%， respectively， which was significantly higher than that of the control group. After the intervention， the physical ability， role status， pain， energy， interpersonal relationship， emotional state， mental health and general health status of the observation group were （75.4±8.2）points， （76.9±5.8）points， （76.8±9.5）points， （77.8±9.4）points， （77.8±9.2）points， （77.8±8.3）points， （74.8±8.2）points， （73.4±7.8）points， significantly higher than those of the control group. The SAS and SDS scores of the observation group were （38.7±3.5）points and （41.4±2.9）points， significantly lower than those of the control group after intervention（P<0.05）. Conclusion PDCA cycle quality control can improve the knowledge and quality of life of patients with Terson syndrome.