The value of a health-conceptual PDCA-cycle nursing model in the intervention of patients with heart valve disease
健康理念的PDCA循环护理模式对心脏瓣膜疾病患者干预的价值

摘要

目的 探讨心脏瓣膜疾病患者中健康理念导向的PDCA循环护理模式的应用效果。方法 选取2024年1月-2025年6月86例心脏瓣膜疾病患者，随机分为观察组（健康理念PDCA循环护理模式）与对照组（常规护理）各43例，比较两组干预前后心理弹性（CD-RISC 5维度）、社会支持（SSRS）、生活质量、心理状态（HAMA/HAMD）及并发症发生率。结果 干预后，观察组心理弹性5维度评分、社会支持各维度及总分、生活质量各维度及总分均显著高于对照组，HAMA、HAMD评分显著低于对照组，并发症总发生率（9.30%）低于对照组（20.93%）（P<0.05）。结论 健康理念的PDCA循环护理模式可有效提升心脏瓣膜疾病患者心理弹性与社会支持水平，改善心理状态及生活质量，降低并发症风险，效果良好。

Abstract

Objective To explore the application effect of a health-conceptual PDCA-cycle nursing model in patients with heart valve disease.
Methods A total of 86 patients with heart valve disease were selected from January 2024 to June 2025 and randomly divided into an observation group (health-conceptual PDCA-cycle nursing model) and a control group (routine nursing), with 43 patients in each group. The two groups were compared before and after intervention in terms of psychological resilience (5 dimensions of CD-RISC), social support (SSRS), quality of life, psychological status (HAMA/HAMD), and complication incidence.
Results After intervention, the observation group had significantly higher scores in all 5 dimensions of psychological resilience, all dimensions and total scores of social support, all dimensions and total scores of quality of life, and significantly lower HAMA and HAMD scores than the control group. The overall complication incidence (9.30%) was also lower than that of the control group (20.93%) (P<0.05).
Conclusion   The health-conceptual PDCA-cycle nursing model can effectively improve the psychological resilience and social support levels of patients with heart valve disease, enhance their psychological status and quality of life, and reduce the risk of complications, with good results.