Psychological intervention of elderly patients with anxiety and depression and somatoform disorder under PDCA cycle study on improvement of nursing quality
PDCA循环下老年焦虑抑郁伴躯体形式障碍患者心理干预护理质量改善研究

摘要

目的 探讨基于PDCA循环管理的全周期心理护理干预模式在老年焦虑抑郁伴躯体形式障碍患者中的应用效果，优化专科护理质量，改善患者身心康复结局。方法 选取我院开放病区科2025年4-6月收治的27例老年焦虑抑郁伴躯体形式障碍住院患者为研究对象，以PDCA（计划-实施-检查-处理）闭环管理为核心工具，结合循证护理理念，构建“院内分层精准干预+出院延续支持”的全周期心理护理方案。结果 干预后（SAS）、（SDS）、（SSS）、匹兹（PSQI）评分均降至正常范围。结论 基于PDCA循环的循证心理护理干预可有效打破老年焦虑抑郁伴躯体形式障碍患者“情绪-躯体症状”恶性循环，提升专科护理质量与患者康复效果，具备临床推广价值。

Abstract

Objective To explore the application effect of full-cycle psychological nursing intervention model based on PDCA circulation management in elderly patients with anxiety and depression and somatoform disorder, optimize the quality of specialized nursing and improve the outcome of patients’ physical and mental rehabilitation.
Methods Twenty-seven elderly inpatients with anxiety and depression and somatoform disorder admitted to the open ward department of our hospital from April to June, 2025 were selected as the research objects, and a full-cycle psychological nursing scheme of “hierarchical accurate intervention in hospital and continuous support after discharge” was constructed with PDCA (plan-implementation-inspection-treatment) as the core tool and the concept of evidence-based nursing.
Results After the intervention, the scores of (SAS), (SDS), (SSS) and (PSQI) all dropped to the normal range.
Conclusion   Evidence-based psychological nursing intervention based on PDCA cycle can effectively break the vicious circle of “emotional-somatic symptoms” of elderly patients with anxiety and depression and somatoform disorder, improve the quality of specialized nursing and the rehabilitation effect of patients, and has clinical promotion value.