FOCUS-PDCA程序干预模式在脑卒中出院患者延续性护理中的应用

  目的  探讨FOCUS-PDCA程序对脑卒中患者延续性护理质量的影响。  方法  以即将从首都医科大学附属北京康复医院出院的脑卒中患者为研究对象，将2020年5月至2020年9月期间符合要求的50例患者作为对照组，2020年10月至2021年2月期间的50例患者为观察组，对照组进行常规延续性护理方法，观察组患者在常规护理的基础上结合FOCUS-PDCA程序干预模式。比较2组患者的MBI、FMA和满意度。  结果  干预后，观察组在MBI、FMA、满意度方面的得分均显著高于对照组（P < 0.05）。  结论  将FOCUS-PDCA程序应用于脑卒中延续性护理中，可显著改善患者日常生活质量，促进肢体功能恢复，提高满意度。

Application of FOCUS-PDCA Program Intervention Mode in Continuous Care of Discharged Patients with Stroke

  Objective  To explore the effect of continuous nursing intervention for discharged stroke patients based on FOCUS-PDCA procedure.   Methods  100 patients with cerebral apoplexy who were about to be discharged from our hospital from May 2020 to February 2021 were selected as the research objects and randomly divided into the control group （n = 50） and the observation group （n = 50）. The control group adopted the traditional continuous nursing mode, while the observation group of patients received FOCUS-PDCA program intervention mode on the basis of routine nursing. MBI, FMA and satisfaction were compared between the two groups.   Results  After the intervention, scores of MBI, FMA and satisfaction in the observation group were significantly higher than those in the control group （P < 0.05）, and the differences were statistically significant.   Conclusion  FOCUS-PDCA program intervention of continuous care for stroke discharged patients can significantly improve the quality of life and satisfaction, promote the rehabilitation effect and it is worthy of clinical application.