PDCA循环护理对消化道肿瘤化疗患者的化疗并发症、生活质量及负面情绪的影响

Effects of PDCA Cycle Nursing on Chemotherapy Complications,Quality of Life and Negative Emotions in Patients with Gastrointestinal Tumor undergoing Chemotherapy

目的:探究PDCA循环护理对消化道肿瘤化疗患者的化疗并发症、生活质量及负面情绪的影响。方法:选取2022年6月—2023年6月苏州市相城人民医院收治的100例消化道肿瘤化疗患者作为研究对象。随机将其分为对照组和观察组,各50例。对照组实施常规护理,观察组实施PDCA循环护理。比较两组护理10 d后化疗并发症,护理前后负面情绪及生活质量。结果:观察组骨髓抑制、胃肠道反应、脱发发生率及并发症总发生率均显著低于对照组,差异有统计学意义(P<0.05)。观察组物质生活、心理功能、情感角色、生理功能评分均高于对照组,差异有统计学意义(P<0.05)。护理后,两组抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均低于护理前,观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论:PDCA循环护理可以有效改善消化道肿瘤化疗患者的化疗并发症、生活质量及负面情绪。

Objective:To explore the effects of PDCA cycle nursing on chemotherapy complications,quality of life and negative emotions in patients with gastrointestinal tumor undergoing chemotherapy.Method:A total of 100 patients with gastrointestinal tumor treated by chemotherapy in Suzhou Xiangcheng People's Hospital from June 2022 to June 2023 were selected as the study objects.They were randomly divided into control group and observation group,50 cases in each group.The control group was given routine nursing,the observation group was given PDCA cycle nursing.Chemotherapy complications after 10 d of nursing,negative emotions before and after nursing and quality of life were compared between the two groups.Result:The incidence of bone marrow suppression,gastrointestinal reaction,alopecia and total complication incidence in observation group were significantly lower than those in control group,the differences were statistically significant(P<0.05).The scores of material life,psychological function,emotional role and physiological function in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in both groups were lower than those before nursing,and the scores of SAS and SDS in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:PDCA cycle nursing can effectively improve chemotherapy complications,quality of life and negative emotions in patients with gastrointestinal tumor undergoing chemotherapy.