PDCA护理在乳腺癌术后化疗患者PICC中的应用效果

Application effects of PDCA nursing in PICC of postoperative breast cancer patients undergoing chemotherapy

目的:观察循环质量管理(PDCA)护理在乳腺癌术后化疗患者外周静脉置入中心静脉导管(PICC)中的应用效果。方法:选取2019年1月至2021年6月该院收治的80例乳腺癌术后化疗患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各40例。对照组采用常规护理,观察组在对照组基础上采用PDCA护理,比较两组带管时间、带管舒适度评分、护理前后自我管理能力[肿瘤患者PICC自我管理能力量表(CPPSM)]评分、并发症发生率和护理满意度。结果:观察组带管时间长于对照组,带管舒适度评分低于对照组,差异均有统计学意义(P<0.05);护理后,两组自我管理能力评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05);观察组护理满意度为95.00%,高于对照组的77.50%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用PDCA护理可降低乳腺癌术后化疗患者PICC置管期间并发症发生率和带管舒适度评分,延长带管时间,提高自我管理能力评分和护理满意度,优于单纯常规护理效果。

Objective: To observe application effects of circle quality management(PDCA) nursing in peripherally inserted central catheter(PICC) of postoperative breast cancer patients undergoing chemotherapy. Methods: A prospective study was conducted on 80 postoperative breast cancer patients undergoing chemotherapy admitted to the hospital from January 2019 to June 2021. They were divided into control group and observation group according to the random number table method, 40 cases in each. The control group was given routine nursing, while the observation group used the PDCA nursing on the basis of that of the control group. The catheter indwelling time, the catheter comfort score, the self-management ability scores before and after the nursing [cancer patient PICC self-management ability scale(CPPSM)], the incidence of complications, and the nursing satisfaction were compared between the two groups. Results: The catheter indwelling time of the observation group was longer than that of the control group, the catheter comfort score was lower than that of the control group, and the differences were statistically significant(P<0.05). After the nursing, the scores of self-management ability of the two groups were higher than those before the nursing, that of the observation group was higher than that of the control group, and the differences were statistically significant(P<0.05). The incidence of complications of observation group was 2.50%, which was lower than 20.00% in the control group, and the difference was statistically significant(P<0.05). Further, the nursing satisfaction of the observation group was 95.00%, which was higher than 77.50% of the control group, the difference was statistically significant(P<0.05).Conclusions: On the basis of the routine nursing, the PDCA nursing can reduce the incidence of complications and the score of tube comfort during PICC catheterization in patients with breast cancer undergoing chemotherapy after surgery, extend the time of tube insertion, improve the score of self-management ability and nursing satisfaction. Moreover, it is superior to single routine nursing.