PDCA循环质控理念用于心力衰竭门诊患者跌倒风险干预的效果

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[中图分类号] R473.54［文献标志码]A[文章编号] 2097-5716（2025）05-0730-05

DOI： 10.13308/j.issn.2097-5716.2025.05.020

［引用格式］，.PDCA循环质控理念用于心力衰竭门诊患者跌倒风险干预的效果[J].实用心电与临床诊疗，2025，34（5）：730-734.

Effectiveness analysis of PDCA cyclic quality control concept applied in fall risk intervention for heart failure outpatientsWANG Xiaoke，LING Rong（Departmentof Cardiology，the 94Oth of Joint Logistics Support Force of Chinese，Lanzhou Gansu 730050， China）

[Abstract]ObjectiveTo explore the application value of the PDCA cyclic quality control concept in fall risk intervention for heart failure（HF）outpatients，and to provide a practical basis for optimizing outpatient nursing management.MethodsPatients visiting the heart failure outpatient clinic from June 2O23 to May 2O24 were selected as study subjects.Among them，12 860 patients visited from June to November 2O23（pre-intervention）， and13 240 patients visited from December 2O23 to May 2024（post-intervention）.The pre-intervention group received traditional nursing management，while the post-intervention group received fallrisk interventions guided by the PDCA cyclicqualitycontrol concept.The incidenceof falls，severityof fal-related injuries，and patient satisfaction were compared between the two groups.ResultsThe incidence of fals after the intervention was 0.03% （4/13 24O），significantly lower than the 0.22% （28/12 860）before the intervention（ χ2=21.36 ， P< 0.05）.All fal-elated injuries after the intervention were mild，showing significant improvementcompared to the pre-intervention group （mild and moderate fall-related injuries accounting for 71.4% and 28.6% ，respectively ; Z=2.03 ， P<0.05 ）.Patient satisfaction scores after the intervention were significantly higher than those before the intervention scores vs. （ 75.3±5.8 ）scores; t=42.67 ， P<0.05 ]. ConclusionThe PDCA cyclic qualitycontrol concept efectivelyreduces fallrisk，mitigates fal-related injuries，and improves patient satisfaction among heart failure outpatients， demonstrating its value for clinical promotion.

[Key words]cyclic quality control； heart failure; fal risk；nursing intervention；PDCA cycle

作为常见的护理不良事件，跌倒已引起广泛关注，防范和减少患者跌倒也被纳入国家卫生健康委员会确定的“患者十大安全目标”。（剩余7034字）