中国健康心理学杂志2026，Vol.34Issue(5)：641-646,6.DOI:10.13342/j.cnki.cjhp.2026.05.001
基于PDCA循环的护理风险管理对长期住院精神障碍患者护理质量的影响
Study on the impact of PDCA—based nursing risk management on nursing quality in long—term hospitalized patients with mental disorders
摘要
Abstract
Objective:To investigate the effects of Plan-Do—Check-Act(PDCA)cycle management based on the concept of continuous quality control on the incidence of adverse events and nursing quality in long-term hospital-ized psychiatric patients in psychiatric wards.Methods:A cluster randomized controlled design was adopted,in which 705 long-term hospitalized psychiatric patients from January 2023 to December 2023 were divided into an experi-mental group(n=362)and a control group(n=343).The experimental group received PDCA cycle-based nursing management,while the control group received conventional nursing care.The differences in adverse event rates,nurs-ing staff's risk prevention awareness,and nursing quality were compared between the two groups.Results:Over the one-year study period,the total number of adverse events was 34(9.39％)in the experimental group and 67(19.53％)in the control group.The incidence of adverse events in the experimental group was significantly lower than that in the control group,with a statistically significant difference(x2=14.76,P＜0.001).Specifically,the incidence of falls/bed falls and violent behaviors was lower in the experimental group than in the control group,with statisti-cally significant differences(x2=5.36,4.64;P＜0.05).However,no significant differences were observed between the two groups in terms of suicide/self-harm and abnormal eating behaviors(P＞0.05).At the study endpoint,the risk prevention awareness score of nursing staff in the intervention group was significantly higher than that in the control group(F=118.18,P＜0.05).The risk preventive behaviors score of nursing staff in the intervention group was also significantly higher than that in the control group(F=199.93,P＜0.05).Furthermore,the total risk prevention and control quality score of nursing staff in the intervention group was significantly higher than that in the control group(F=179.20,P＜0.05).Conclusion:Nursing risk management based on the PDCA cycle significantly reduces the inci-dence of adverse events in long-term hospitalized psychiatric patients in psychiatric wards and effectively improves nursing safety and quality.关键词
精神障碍/计划—执行—检查—行动循环/风险管理/不良事件/护理质量Key words
Psychiatric disorders/PDCA/Risk management/Adverse events/Nursing quality分类
医药卫生引用本文复制引用
胡晓芬,朱幸佳,朱明环,章蕾,陈发展,闵海瑛..基于PDCA循环的护理风险管理对长期住院精神障碍患者护理质量的影响[J].中国健康心理学杂志,2026,34(5):641-646,6.基金项目
上海市卫生健康系统重点学科建设项目(精神病学)(编号:2024ZDXK0011) （精神病学）
上海市浦东新区卫生健康系统重要薄弱学科(精神科护理学)(编号:PWZbr2025-07) （精神科护理学）
