Application of PDCA cycles in the normal limb position of stroke patients with hemiplegia

Abstract

Objective To explore the application effect of PDCA cycles on the normal limb position of stroke patients with hemiplegia. Methods The stroke patients with hemiplegia(128 cases)were selected as study subjects. Patients(62 cases)during January to September 2014 were set as the control group, and received routine nursing care. Patients(66 cases)during October 2014 to July 2015 were set as the experimental group, and used PDCA cycles management on the normal limb position additionally. The application effect of PDCA cycles on the normal limb position was evaluated through comparing two groups with qualification rates of normal limb position and incidence of complications. Results The qualification rates of normal limb position in the control group was 38.71%(24/62), which was higher than that of the control group, which was 75.76%(50/66)(χ2=16.504, P<0.01). The complications occurred in the control group were strephenopodia(11 cases), foot drop(16 cases), dislocation of shoulder(9 cases), omodynia(27 cases)and myospasm(34 cases), and they were 3 cases, 7 cases, 2 cases, 15 cases and 18 cases in the experimental group respectively. The incidence of complications was lower than those of the control group(χ2=4.001-8.961, P < 0.05), and the difference was statistically significant between two groups. Conclusions PDCA cycles management could improve the qualification rates of normal limb position and reduce the incidence of complications, which was beneficial to the recovery of limb function. Key words: Stroke; Hemiplegia; Rehabilitation; PDCA cycle; Normal limb position