PDCA循环管理在中重度癌痛使用阿片类药物性便秘患者中的应用

Application of PDCA cycle management in patients with moderate and severe cancer pain and opioid-induced constipation

目的探讨PDCA循环管理在中重度癌痛使用阿片类药物性便秘患者中的应用。方法选取2019年1~12月广州市番禺区中心医院收治的中重度癌痛使用阿片类药物性便秘患者100例,根据患者就诊顺序分为对照组和试验组,各50例。对照组实施常规通便护理,试验组在常规通便护理的基础上使用PDCA循环管理方法进行护理。比较两组患者护理后便秘严重程度及便秘患者生活质量评估量表(PAC-QOL)评分。结果试验组患者肠功能指数量表各条目得分均低于对照组,患者便秘PAC-QOL评分低于对照组,差异有统计学意义(P<0.05)。结论PDCA循环管理方法能改善中重度癌痛患者阿片类药物相关性便秘,有效降低阿片类药物相关性便秘严重程度和便秘生活质量。

Objective To investigate the application of PDCA cycle management in patients with moderate and severe cancer pain and opioid-induced constipation.Methods A total of 100 patients with moderate to severe cancerous pain combined with opioid-induced constipation admitted to Panyu Central Hospital were selected from January to December 2019.According to the order of visits,the patients were divided into the control group and the experimental group,with 50 patients in each group.The control group was treated with routine defecation nursing,while the experimental group received PDCA cycle management on the basis of routine defecation nursing.The severity of opioid-induced constipation and the quality of life assessment scale(PAC-QOL)score of constipation patients after nursing were compared between the two groups.Results The scores of each item of the Evaluation of Intestinal Function Index scale in the experimental group were all lower than those in the control group,and the PAC-QOL score of constipation in the experimental group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion PDCA cycle management can improve opioid-induced constipation in patients with moderate and severe cancerous pain,and effectively reduce the severity of opioid-related constipation and the constipation quality of life.