中西医结合护理 (Sep 2024)
Application of PDCA circle in the promotion of integrated care of medical and elderly care (运用PDCA循环推进医养结合整合照护)
Abstract
Objective To explore the application of PDCA cycle in the integrated care of medical and elderly care, in order to promote the quality and efficiency of the integrated care service model, meet the personalized needs of the elderly, and provide reference for sustainable development. Methods Totally 62 elderly residents who received integrated care services in the nursing home in 2021 were selected as the control group, and 62 elderly residents who received PDCA cycle integrated care services in 2023 were selected as the observation group. The improvement of activity daily living, satisfaction with care services, and occurrence of adverse events were compared between the two groups. Results The improvement rate of activity daily living of patients in the observation group was higher than that in the control group (66. 13% vs. 37. 10%, P＜0. 01 ). The overall satisfaction rate of the observation group was higher than that of the control group (98. 39% vs. 93. 55%, P＜0. 01). The incidence of adverse events in the observation group was lower than that of the control group (16. 13% vs. 33. 87%, P＜0. 05). Conclusion A series of strategies and measures need to be taken when implementing integrated care. Quality management tools can help better manage the quality and efficiency of healthcare services. Applying the PDCA cycle quality management tool to the integrated care model can better implement integrated care, improve daily living activities, increase satisfaction with care services, reduce the occurrence of adverse events, and improve the quality, efficiency, and safety of integrated care services. (目的 探讨PDCA循环在医养结合整合照护中的应用效果, 以推进医养结合整合照护服务模式的质量和效率, 满足老年人个性化需求, 为可持续发展供参考。方法 将本院2021年实施常规整合照护服务的62位入住老年人为对照组, 将2023年接受基于PDCA循环的整合照护服务的62位入住老年人为观察组。对比两组的日常生活活动能力改善、照护服务满意度、不良事件发生情况。结果 观察组老年人日常生活活动能力改善率66. 13%(41/62), 高于对照组的37. 10%(23/62), 差异有统计学意义(P＜0. 01)。观察组老年人总满意度98. 39%(61/62), 高于对照组的93. 55%(58/62), 差异有统计学意义(P＜0. 01)。观察组老年人不良事件发生率16. 13%(10/62), 低于对照组的33. 87%(21/62), 差异有统计学意义(P＜0. 05)。结论 在实施整合照护时, 需要采取一系列策略和措施。质量管理工具可以帮助更好地管理医疗照护服务的质量和效率。将PDCA循环质量管理工具运用于整合照护模式中, 可以更好地实施整合照护, 改善日常生活活动能力, 提高照护服务的满意度, 降低不良事件的发生, 提高了整合照护服务的质量、效率和安全性。)
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