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目的:探析PDCA循环在妊娠高血压患者临床管理中的应用效果。方法:以宁海县某妇幼保健院妇产科收治的妊娠高血压病患者为研究对象,采用随机信封法PDCA循环管理开展前后(2011年1月和2013年12月)随机抽取各50例患者,分别为基线对照组和实验组,实验组患者接受了PDCA循环管理模式下综合干预措施,对照理组患者没有实行特殊干预,比较两组患者临床疗效和患者满意度。结果:实验组治疗总有效率为94%,对照组治疗总有效率为80%,差异有统计学意义(χ2=4.332,P值=0.037。实验组患者满意度为98%,明显高于对照组的82%,差异有统计学意义(χ2值=7.111,P值=0.008)。结论:PDCA循环管理模式对妊娠高血压疾病患者实施动态管理,能够明显提高妊娠高血压疾病患者临床疗效,提高患者满意度,值得在临床上进一步推广。
Objective: To investigate the effect of PDCA circulation in the clinical management of patients with pregnancy induced hypertension. Methods: Pregnancy-induced hypertension patients admitted to obstetrics and gynecology department of a maternity and child care hospital in Ninghai county were selected as research objects. Fifty patients were randomized before and after PDCA cycle management (January 2011 and December 2013) Respectively, the baseline control group and the experimental group, the experimental group of patients under the PDCA cycle management mode accepted a comprehensive intervention, the control group of patients did not implement special intervention, the clinical efficacy and patient satisfaction were compared between the two groups. Results: The total effective rate of the experimental group was 94%, while that of the control group was 80% (χ2 = 4.332, P = 0.037). The satisfaction of the experimental group was 98%, which was significantly higher than that of the control group (Χ2 = 7.111, P = 0.008) .Conclusion: The PDCA cycle management model of dynamic management of patients with pregnancy-induced hypertension can significantly improve the clinical efficacy of patients with pregnancy-induced hypertension and improve Patient satisfaction, it is worth further promotion in the clinic.