Discussion on the value of PDCA circulation management model in early rehabilitation of stroke patientswith hemiplegia
PDCA循环管理模式应用于脑卒中偏瘫患者早期康复中的价值探讨

摘要

目的 探究脑卒中偏瘫患者早期康复中应用PDCA循环管理模式的效果。方法 回顾性选择本院收治的脑卒中偏瘫患者，共计130例，收治时间为2020年1月至2020年12月。本院于5月份开展PDCA循环管理，以管理前后分组，分对照组（管理前，65例）、观察组（管理后，65例）。比较两组患者早期康复执行率、早期康复训练依从性、康复护理知识掌握率以及干预前后的NIHSS（神经功能损伤评分）、ADL（日常生活能力评分）得分。结果 观察组早期康复执行率、早期康复训练依从性、康复护理知识掌握率均高于对照组（P<0.05）。观察组干预后NIHSS得分低于对照组，ADL得分高于对照组（P<0.05）。结论 在脑卒中偏瘫患者早期康复中应用PDCA循环管理模式效果显著，可确保早期康复训练有效开展，增进患者康复护理认知，提高其日常生活能力，促进康复，值得推广。

Abstract

Objective: To explore the effect of PDCA in early rehabilitation of stroke patients.
Methods A total of 130 stroke hemiplegia patients were admitted from January 2020 to December 2020. The hospital carried out PDCA cycle management in May, which was divided before and after management, and divided into control group (before management, 65 cases) and observation group (after management, 65 cases). To compare the two groups, the early rehabilitation performance rate, early rehabilitation training compliance, rehabilitation and nursing knowledge mastery rate, and the NIHSS (neurological impairment score) and ADL (daily living ability score) scores before and after the intervention.
Results The rate of early rehabilitation execution, early rehabilitation training compliance, and rehabilitation and nursing knowledge mastery rate were all higher than those of the control group (P <0.05). The NIHSS score was lower than the control group, and the ADL score was higher than the control group (P <0.05).
Conclusion   The application of PDCA circulation management mode in the early rehabilitation of stroke hemiplegia patients can ensure the effective development of early rehabilitation training, enhance the cognition of rehabilitation and nursing, improve their daily living ability, and promote rehabilitation.