PDCA循环管理对肺癌根治术后医院内感染及肺功能的影响

Effect of PDCA circulation management on nosocomial infection and pulmonary function after radical lung cancer surgery

目的探讨PDCA循环管理对肺癌患者行肺癌根治术后医院内感染及肺功能的影响。方法根据随机数字表法将86例肺癌根治术后患者分为对照组和研究组,每组43例。对照组患者给予常规护理干预,研究组患者在对照组常规护理干预的基础上给予PDCA循环管理护理干预。比较两组患者的肺功能、呼吸功能、医院内感染发生率和护理满意度。结果干预后,研究组患者的用力肺活量(FVC)、第一秒用力呼气量占预计值百分比(FEV1%)、第一秒用力呼气量(FEV1)/FVC均高于对照组,伯格呼吸困难量表评分低于对照组,差异均有统计学意义(P﹤0.05);研究组患者的术后医院内感染总发生率低于对照组,护理满意度优于对照组,差异均有统计学意义(P﹤0.05)。结论在常规护理干预的基础上给予PDCA循环管理干预,能够有效降低肺癌根治术后患者医院内感染的发生率,改善患者的肺功能。

Objective To investigate the effect of PDCA circulation management on nosocomial infection and pulmonary function after radical lung cancer surgery.Method 86 patients with radical lung cancer were randomly divided into the control group and the study group,43 cases in each group.The control group was given routine nursing,on the basis of routine nursing,the study group was given PDCA circulation management.The pulmonary function,respiratory function,incidence of nosocomial infection and nursing satisfaction were compared between the two groups.Result After intervention,the forced vital capacity(FVC),forced expiratory volume in first second percentage of expected value(FEV1%)and forced expiratory volume in first second(FEV1)/FVC in the study group were significantly higher than those in the control group,the score of Berg dyspnea scale was significantly lower than that of the control group,the difference were statistically significant(P<0.05).The incidence of nosocomial infection in the study group was significantly lower than that in the control group,the nursing satisfaction was significantly better than in the control group,the difference were statistically significant(P<0.05).Conclusion On the basis of routine nursing,PDCA circulation management can effectively reduce the incidence of nosocomial infection after radical operation of lung cancer and improve the lung function of patients.