基于同伴支持的PDCA循环管理对宫颈癌术后康复进程及负性情绪的影响

Effect of peer support based PDCA cycle management on postoperative rehabilitation and negative emotion of patients with cervical cancer

目的探究基于同伴支持的PDCA循环管理对宫颈癌术后康复进程及负性情绪的改善作用。方法将96例宫颈癌患者随机分为观察组和对照组,每组48例。对照组患者采用常规的PDCA循环管理,观察组患者在对照组的基础上予以同伴支持。观察并比较两组患者自护能力、负性情绪、生活质量、性功能以及护理满意度。结果干预后,两组患者自护能力量表(ESCA)中健康知识、自我概念、自护技能、责任感评分及总分均明显高于本组干预前(P﹤0.01),且观察组均明显高于对照组(P﹤0.01)。干预后,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于本组干预前(P﹤0.01),且观察组均明显低于对照组(P﹤0.01)。干预后,两组患者简明健康状况调查问卷(SF-36)中角色功能、认知功能、躯体功能、社会功能及情绪功能评分均明显高于本组干预前(P﹤0.01),且观察组均明显高于对照组(P﹤0.01)。观察组患者术后性交疼痛、阴道干涩发生率均低于对照组,护理满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论基于同伴支持的PDCA循环用于宫颈癌患者术后康复进程中效果较理想,显著提高患者自护能力,有效缓解患者负性情绪,改善患者生活质量以及性功能障碍等,同时有利于提高护理满意度,值得在临床实践中推广使用。

Objective To explore the improvement effect of peer support based PDCA cycle management on postoperative rehabilitation and negative emotion of patients with cervical cancer.Method A total of 96 patients with cervical cancer were randomly divided into the control group(n=48,managed by conventional PDCA cycle)and observation group(n=48,managed by PDCA cycle+peer support);the self-care ability,negative emotions,quality of life,sexual function and nursing satisfaction were observed and compared between the two groups.Result After intervention,the scores of health knowledge,self concept,self-care skills,sense of responsibility and total scores of exercise of self-care agency(ESCA)in both groups were higher than those before intervention(P<0.01),with higher scores in the observation group versus the control group(P<0.01);the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups were lower than those before intervention(P<0.01),with lower scores in the observation group versus the control group(P<0.01);the scores of role function,cognition function,physical function,social function and emotional function of the MOS 36-item short form health survey(SF-36)in both groups were higher than those before intervention(P<0.01),with higher scores in the observation group versus the control group(P<0.01);the incidence of postoperative sexual pain and vaginal dryness in observation group was lower and nursing satisfaction higher than that in the control group(P<0.05).Conclusion PDCA cycle based on peer support in cervical cancer can achieve ideal postoperative reha-bilitation improve patients self care ability,relieve negative emotion,improve the quality of life,sexual dysfunction and nursing satisfaction,which is worthy of popularization in clinical practice.