计划实施确认处置程序护理对恶性脑胶质瘤患者术后放化疗不良反应发生率和生活质量的影响

Effect of plan-do-check-action cycle mode on the incidence of adverse reactions and quality of life in patients with malignant glioma postoperative chemotherapy

目的探讨计划、实施、确认、处置(PDCA)程序护理对恶性脑胶质瘤患者术后放化疗的不良反应发生率和生活质量的影响。方法将87例行手术治疗的恶性脑胶质瘤患者按照随机分层分组法分为观察组(45例)和对照组(42例)。两组患者术后均给予相同的放化疗措施,对照组放化疗期间采用常规护理,观察组放化疗期间采用PDCA程序护理。分析两组患者的不良反应发生率及生活质量。结果观察组患者放化疗期间不良反应发生率明显低于对照组,差异有统计学意义(P<0.05)。观察组患者生活质量核心量表各维度评分及总分均优于对照组,差异均有统计学意义(均P<0.05)。结论 PDCA程序护理能显著降低恶性脑胶质瘤患者术后放化疗不良反应发生率,提高患者放化疗期间的生活质量,在临床治疗中具有重要的临床应用价值。

Objective To explore the effect of plan-do-check-action （PDCA） cycle mode on the incidence of adverse reactions and quality of life in patients with malignant glioma postoperative chemothera- py. Methods According to a stratified randomization method, 87 patients with malignant brain glioma were randomly divided into the observation group and the control group. The control group was given the routine nursing intervention during radiotherapy and chemotherapy, while the control group was given PDCA cycle mode, and two groups of the incidence of adverse reactions and the quality of life were observed. Results The observation group was significantly better than the control group in the incidence of adverse reactions, the difference between the two groups was significant （ P 〈 0. 05 ）. The observation group was sig- nificantly higher than the control group in the score of the European Organzation for Research and Treatment of Cancer quality of life-C30 （EORTC QLQ-C30） scale, the difference between the two groups was signifi- cant （P 〈 0. 05）. Conclusions PDCA cycle mode can significantly reduce the incidence of adverse reac- tion and improve the quality of life, it has important clinical value on the treatment for patients with malig- nant brain glioma.