The influence of continuous nursing based on the PDCA cycle on elderly patients undergoing cataract surgery
基于PDCA循环的延续性护理对老年性白内障手术患者的影响

摘要

目的 探讨基于PDCA循环的延续性护理模式对老年性白内障手术患者术后康复效果、生活质量及护理满意度的影响。方法 选取2024年9月-2025年8月在新疆四七四医院眼二科行超声乳化联合人工晶状体植入术的老年性白内障患者100例，依据随机数字表分组方案，将纳入患者分为对照组和观察组，每组50例，对照组实施眼科术后常规护理，观察组在对照组基础上实施基于PDCA循环的延续性护理。对比两组患者术后3个月的裸眼视力、眼压水平、匹兹堡睡眠质量指数（PSQI）、低视力者生活质量量表（CLVQOL）评分。结果 术后3个月，观察组患者裸眼视力显著高于对照组，眼压水平显著低于对照组，差异均有统计学意义（P＜0.05）；观察组PSQI评分显著低于对照组，CLVQOL评分显著高于对照组，差异均有统计学意义（P＜0.05）。结论 基于PDCA循环的延续性护理可有效改善老年性白内障手术患者的术后视力恢复情况，调控眼压，提升睡眠质量与生活质量，同时提高患者护理满意度，具有较高的临床推广价值。

Abstract

Objective To explore the impact of the continuous nursing model based on the PDCA cycle on the postoperative rehabilitation effect, quality of life and nursing satisfaction of elderly patients undergoing cataract surgery.
Methods A total of 100 elderly patients with cataract who underwent phacoemulsification combined with intraocular lens implantation in the Second Department of Ophthalmology of Xinjiang 474 Hospital from September 2024 to August 2025 were selected. According to the random number table grouping scheme, the included patients were divided into the control group and the observation group, with 50 cases in each group. The control group received routine postoperative care in ophthalmology. The observation group implemented continuous nursing based on the PDCA cycle on the basis of the control group. The uncorrected visual acuity, intraocular pressure level, Pittsburgh Sleep Quality Index (PSQI), and Low Vision Quality of Life Scale (CLVQOL) score of the two groups of patients were compared 3 months after the operation.
Results Three months after the operation, the uncorrected visual acuity of the patients in the observation group was significantly higher than that in the control group, and the intraocular pressure level was significantly lower than that in the control group. The differences were statistically significant (P < 0.05). The PSQI score of the observation group was significantly lower than that of the control group, and the CLVQOL score was significantly higher than that of the control group. The differences were statistically significant (P < 0.05).
Conclusion   Continuous nursing based on the PDCA cycle can effectively improve the postoperative visual recovery of elderly patients undergoing cataract surgery, regulate intraocular pressure, enhance sleep quality and quality of life, and simultaneously increase patient satisfaction with nursing care. It has high clinical promotion value.