循环质控对Terson综合征患者疾病知识掌握和生活质量的影响

黄春霞 陈小芳 葛雅静

[摘要] 目的 探討循环质控理的护理风险管理对Terson综合征患者疾病知识掌握程度和生活质量的影响。 方法 选取我院2016年6月～2018年3月间采用循环质控的Terson综合征患者30例作为研究对象作为观察组，并回顾性分析2014年6月～2016年5月收治的30例采用常规护理干预的患者作为对照组，对照组患者给予常规护理干预，观察组基于循环质控给予护理风险管理，比较两组患者护理风险事件的发生率、患者疾病知识掌握程度、生活质量的关系。 结果 观察组患者护理缺陷、护理纠纷、意外事件的发生率分别为0、3.3%、0，明显高于对照组，观察组患者知识掌握率、熟练率分别为33.3%、53.3%，明显高于对照组，干预后观察组患者躯体能力、角色状态、疼痛感、精力、人际关系、情绪状态、心理健康、一般健康状态分别为（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）分明显高于对照组，干预后观察组SAS、SDS评分（38.7±3.5）分和（41.4±2.9）分均明显低于对照组（P<0.05）。 结论 PDCA循环质控有助于提高Terson综合征患者知识掌握度和生活质量。

[关键词] 循环质控;生活质量;Terson综合征;知识掌握度

[中图分类号] R473.77          [文献标识码] B          [文章编号] 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.