甲状腺良性结节微波消融治疗中PDCA循环管理的应用

Application of PDCA cycle management in microwave ablation treatment of benign thyroid nodules

目的探讨PDCA循环管理在微波消融治疗甲状腺良性结节中的临床应用效果。方法选取我院2015年1月~2016年6月收治的65例甲状腺结节的患者为治疗组,并采取微波消融治疗,另外选取2015年1月之前采用传统手术治疗的65例经术后病理证实甲状腺良性结节患者作为传统手术组;微波消融组实施PDCA循环,传统手术组患者未实施PDCA循环。术后随访6月,统计患者术后治疗满意度和并发症发生率。结果微波消融治疗组消融率为95.38%,并发症发病率是7.77%,术后6月随访满意度为98.5%。传统手术组完全切除率为85.54%,并发症发生率为16.6%,术后6月随访满意度为81.5%。两组患者满意度差异具有统计学意义(χ~2=8.547,P=0.003)。结论 PDCA循环管理可提高微波消融甲状腺良性结节患者术后满意度,减少微波消融治疗甲状腺良性结节并发症的发生,提高护理满意度。

Objective To explore the clinical effect of PDCA cycle management in the treatment of benign thyroid nodules by microwave ablation. Methods 65 patients with thyroid nodules admitted to our hospital from January 2015 to January 2016 were selected as the treatment group and were treated with microwave ablation; other 65 patients with benign thyroid nodules confirmed by postoperative pathology were included to the traditional operation group and were treated by traditional surgery before January 2015.The PDCA cycle was performed in the microwave ablation group, while not implemented in the traditional operation group. After 6 months of postoperative follow-up, the patients＇ satisfaction with postoperative treatment and incidence rate of complications were systematically analyzed.Result The ablation rate, incidence rate of complications,and patients＇ satisfaction rate during the six-month follow-up of the microwave ablation group were 95.38%, 7.77% and 98.5%respectively, while the rate of complete resection, incidence rate of complications and patients＇ satisfaction rate during the sixmonth follow-up of the traditional operation group were 85.54%, 16.6%, and 81.5%. Conclusion PDCA cycle management can improve the postoperative satisfaction of patients with benign thyroid nodules after microwave ablation treatment, and reduce the incidence rate of benign nodule complications and improve nursing satisfaction.