摘要
目的探讨宫颈癌患者术后应用循环质量管理(PDCA)护理模式对自我管理及康复进程的影响。方法选取2016年11月至2018年11月山东省青岛市肿瘤医院收治的80例宫颈癌术后患者为对象,根据入院单双顺序分为对照组和观察组,每组40例。对照组患者采用常规护理干预,观察组患者采用PDCA循环护理干预,比较两组患者排气时间、下床活动时间、住院时间、自我管理效能(SUPPH)评分及并发症发生率。结果干预后,观察组患者排气时间、下床活动时间及住院时间均显著短于对照组患者,差异均有统计学意义(均P <0. 05)。干预前,两组患者正性态度、自我决策、自我减压及总分比较,差异均无统计学意义(均P> 0. 05),干预后,观察组患者正性态度、自我决策、自我减压及总分均显著高于对照组患者(P <0. 05)。干预后,观察组患者并发症发生率为7. 5%,显著低于对照组患者的30. 0%,差异有统计学意义(P <0. 05)。结论宫颈癌患者术后应用PDCA循环护理能够有效促进其康复,提高自我管理效能,且安全性较高。
Objective To analyze the effects of plan-do-check-act(PDCA)nursing mode on selfmanagement and rehabilitation process in patients with cervical cancer.Methods Eighty patients with cervical cancer who were admitted to Qingdao Cancer Hospital after surgery from November 2016 to November2018 were enrolled.They were divided into an observation group and a control group with 40 patients in each group according to the even-odd order of admission.The observation group was given PDCA nursing intervention.The control group was given routine nursing intervention.The exhaust time,out-of-bed time,length of hospitalization,score of strategies used by people to promote health(SUPPH)and incidence of complication were compared between the two groups.Results After the intervention,the exhaust time,out-of-bed time and length of hospitalization were shorter in the observation group than in the control group(all P<0.05).Before the intervention,there was no significant difference in positive attitude,self-decision,self-decompression and the overall score between the two groups(all P>0.05).After the intervention,positive attitude,self-decision,self-decompression and overall score were significantly higher in the observation group than in the control group(all P<0.05).After intervention,the incidence of complication was 7.5%in the observation group which was significantly lower than 30.0%of the control group(P<0.05).Conclusion The application of PDCA nursing can effectively promote recovery,improve self-management efficiency in patients with cervical cancer after surgery,with high safety.
作者
姜振娟
郭琳
崔晓梅
王海英
JIANG Zhen-juan;GUO Lin;CUI Xiao-mei;WANG Hai-ying(Department of Gynecologic Oncology,Qingdao Cancer Hospital,Qingdao266031,China;Departmentof Obstetrics,Qingdao Central Hospital,Qingdao266031,China)
出处
《中国肿瘤临床与康复》
2019年第9期1115-1117,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
