摘要目的:探讨柏拉图分析法护理质量改进管理对急性心肌梗死（AMI）患者经皮冠状动脉介入术（PCI）后康复的应用效果。方法:纳入连云港市第一人民医院2018年10月—2019年4月、2019年5—11月两个时间段各198例因AMI行PCI的患者，术后分别实施常规护理管理方式（常规组）、基于柏拉图分析法的护理质量改进管理（改进组）。对两组患者康复运动处方执行情况、运动能力以及实施前后护理人员综合素质评分进行比较。结果:改进组每周微信打卡天数、上传合规运动视频数及合规饮食照片数均显著多于常规组［（5.47±0.56）比（3.56±0.41）d、（5.72±0.61）比（2.86±0.24）条、（17.92±1.80）比（12.01±1.47）张］，康复运动知识评分显著高于常规组［（83.34±7.91）比（62.39±6.34）分 ］（均 P<0.001）；改进组无氧阈值千克摄氧量（VO 2AT/kg）显著高于常规组［（19.38±2.74）比17.25±2.61）ml·min －1·kg －1］（ P<0.001）；基于柏拉图分析法的护理质量改进管理实施后护理人员脑力激荡、责任感、积极性、团队凝聚力、沟通协调得分均显著高于实施前［（4.15±0.49）比（2.95±0.31）分、（3.94±0.40）比（2.08±0.24）分、（4.01±0.43）比（2.65±0.28）分、（4.62±0.36）比（3.01±0.35）分、（4.53±0.43）比（3.16±0.37）分 ］（均 P<0.001）。 结论:基于柏拉图分析法的护理质量改进管理可改善AMI行PCI的患者术后康复运动处方执行情况，增强其运动耐力，提升护理人员综合素质。

abstractsObjective:To investigate the effect of improved management of nursing quality based on Plato analysis on the rehabilitation of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI).Methods:A total of 198 patients with AMI after PCI were enrolled from the Lianyungang First People′s Hospital from October 2018 to April 2019 and from May to November 2019. The conventional nursing management method (referred to as the regular group), and the quality improved nursing based on the Platonic analysis method (referred to as the improved group) were implemented respectively. The implementation status of exercise rehabilitation, exercise ability of the two groups, and comprehensive quality scores of nurses were compared between the two groups.Results:The WeChat punch-in days, the number of compliant sports videos uploaded per week, the number of compliant diet photos uploaded per week in improved group were more than those in regular group ［(5.47±0.56) vs. (3.56±0.41) d, (5.72±0.61) vs. (2.86±0.24) pieces, (17.92±1.80) vs. (12.01±1.47) pieces］, the rehabilitation sports knowledge scores were higher than that in regular group ［(83.34±7.91) vs. (62.39±6.34) points］(all P<0.001). The anaerobic threshold oxygen uptake (VO 2AT/kg) of patients in the improved group was higher than that in the regular group ［(19.38±2.74) vs. (17.25±2.61) ml·min －1·kg －1］ ( P<0.001). The results of the nurses′ comprehensive quality radar chart showed that the nurses′ brainstorming, responsibility, enthusiasm, team cohesion and communication and coordination scores after implementation of the nursing quality improvement management based on the Plato analysis were higher than those before the implementation ［(4.15±0.49) vs. (2.95±0.31) points, (3.94±0.40) vs. (2.08±0.24) points, (4.01±0.43) vs. (2.65±0.28) points, (4.62±0.36) vs. (3.01±0.35) points, (4.53±0.43) vs. (3.16±0.37) points］ (all P<0.001). Conclusion:The improved management of nursing quality based on the Plato analysis method can improve the implementation of rehabilitation exercise prescriptions for patients with AMI aftre PCI, enhance their endurance of exercise, and improve the overall quality of nurses.