PDCA循环在乳腺癌改良根治术后引流的应用

Application of PDCA cycle in drainage after modified radical mastectomy for breast cancer

目的:探讨PDCA循环模式在乳腺癌患者改良根治术后淋巴引流液管理中的应用。方法:将78例乳腺癌改良根治术后患者作为研究对象,随机原则分组,各纳入39例。对照组患者在术后淋巴引流液管理中应用常规护理模式,PDCA组患者在术后淋巴引流液管理中应用PDCA循环模式。比较两组患者对护理服务的满意度;住院天数、创面愈合时间;患者伤口出血、感染发生率、皮下积液回抽率。结果:PDCA组对护理服务的满意度、住院天数、创面愈合时间、伤口出血、感染发生率、皮下积液回抽率均优于对照组(P<0.05)。结论:PDCA循环模式的使用可有效加速伤口愈合,减少伤口出血、感染、皮下积液回抽的发生,缩短住院时间,提升患者满意度,值得推广临床应用。

Objective：To investigate the application of PDCA circulatory model in the management of lymphatic drainage after modified radical mastectomy for breast cancer. Methods：A total of 39 patients with modified breast cancer who underwent modified radical mastectomy were randomly divided into three groups. In the control group, the conventional nursing model was applied in the management of postoperative lymphatic drainage fluid. PDCA group was used in the postoperative lymphatic drainage management. Comparison of the two groups of nursing service satisfaction; hospital days, wound healing time; patients with wound bleeding, the incidence of infection, subcutaneous effusion rate. Results：The satisfaction rate, hospitalization days, wound healing time, wound bleeding, infection rate and subcutaneous effusion rate of the PDCA group were better than those of the control group（P〈 0.05）. Conclusion：PDCA cycle mode can effectively accelerate the wound healing, reduce wound bleeding, infection, subcutaneous fluid withdrawal occurred, shorten the hospital stay, improve patient satisfaction, worthy of promotion.