PDCA管理对腹腔镜胃癌根治患者术后胃肠功能及生活质量的评价

PDCA management of gastrointestinal function and quality of life in patients with gastric cancer after laparoscopic radical gastrectomy

目的探究PDCA管理模式应用于行腹腔镜胃癌根治术患者对其胃肠功能及生活质量的影响。方法选取2013年4月至2015年3月收治的84例胃癌患者,利用随机数字表法进行分组,分别设为PDCA管理组和常规治疗组,每组各42例。PDCA管理组在常规治疗组基础上实施PDCA管理模式。记录两组患者胃肠道功能恢复情况及术后康复状况。利用SPSS19.0软件进行统计处理,计量资料以均数±标准差作为统计描述,组间比较采取两独立样本t检验;计数资料以率作为统计描述,采取χ2检验。P<0.05差异有统计学意义。结果 PDCA管理组患者在恢复进食所需时间、肠鸣音恢复时间、术后肛门恢复排气时间及排便恢复时间方面均早于常规治疗组,差异有统计学意义(t值分别为:8.064、11.242、9.315、12.358,P<0.05)。PDCA管理组尿管留置时间、首次下床所需时间及住院时间均早于常规治疗组,差异有统计学意义(t值分别为:9.389、7.380、11.254,P<0.05)。结论行腹腔镜胃癌根治术患者实施PDCA管理模式,有助于改善其胃肠道功能,且能提高其生活质量,取得较为可观的临床成效,值得临床推广。

Objective To investigate PDCA management after radical surgery of laparoscopic gastric cancer and assess the gastrointestinal function and life quality of patients. Methods 84 patients with gastric cancer who were treated from April 2013 to March 2015in our hospital were randomly divided into a PDCA group （42 patients） and a control group （42）. Routine nursing intervention was carried out in the control group, whereas PDCA management was given to the PDCA group The gastrointestinal function and postoperative rehabilitation condition of the patients in the two groups were recorded. Clinical data of the patients were analyzed using SPSS19.0 statistical software. Measurement data were represented as mean ＋ SD and examined using Student＇ s t test. Count data were expressed as rates and compared by the Chi-square test. P 〈 0.05 was considered statistically significant. Results The gastrointestinal function of patients recovered earlier in the PDCA group than in the control group （t = 8. 064, 11. 242, 9. 315, 12. 358 respectively; P 〈 0. 05 ）. In the PDCA group, the duration of indwelling catheterization, time of ambulation, and hospital stay were longer than those in the control group （ t = 9. 389, 7. 380, 11. 254 respectively; P 〈 0. 05 ）. Conclusion PDCA management of patients with gastric cancer who underwent laparoscopic radical gastrectomy could promote the recovery of gastrointestinal function and improve the life quality of patients.