Abstract:
Objective To explore the effect of PDCA cycle nursing elderly patiens received valve replacement transferred from ICU to general ward.
Methods A total of 60 elderly patients undergoing valve replacement in Affiliated Hospital of Zunyi Medical University from October 2020 to September 2021 were selected. Among them, 30 cases received routine nursing during the transition period of ICU discharge (control group), and the remaining 30 cases received transitional nursing based on PDCA cycle (observation group). Left ventricular ejection fraction (LVEF), left ventricular end-diastolic volume (LVEDV), hospital anxiety and depression rating scale (HADS), Chinese version of Mishel disease uncertainty scale (MUIS), and activities of daily living (ADL) scores were compared between the two groups before and after intervention. Chi-square test was used for comparison of counting data groups, and t test was used for comparison of measurement data.
Results After nursing, LVEF and LVEDV in the observation group were higher than those in the control group (t=3.286, 2.035, P < 0.05), HADS-A, HADS-D and MUIS scores were lower than those in the control group (t=3.873, 3.873, 6.076, P < 0.01), and ADL score was higher than that of control group (t=6.076, P < 0.01).
Conclusion Transitional nursing based on PDCA cycle can significantly improve patients' anxiety and disease uncertainty, promote the recovery of patients' heart function and self-care ability.
Key words:
PDCA cycle,
Transitional nursing,
Valve replacement,
Aged,
Intensive care unit,
Cardiac function,
Self-care ability
Mingxian Luo. Effect of PDCA cycle nursing in elderly patiens received valve replacement transferred from ICU to general ward[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2022, 09(02): 31-34.