FOCUS-PDCA持续质量改进模式护理在肝癌介入治疗患者中的应用效果

Application effects of FOCUS-PDCA continuous quality improvement model nursing in patients with liver cancer undergoing interventional therapy

目的:观察FOCUS-PDCA持续质量改进模式护理在肝癌介入治疗患者中的应用效果。方法:选取2020年6月至2022年6月该院收治的114例肝癌患者进行前瞻性研究,按随机数字表法将其分为对照组和观察组各57例。对照组采用常规护理,观察组采用FOCUS-PDCA持续质量改进模式护理,比较两组护理前后疼痛程度[视觉模拟评分表(VAS)]评分、负性情绪[汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]评分、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]评分、并发症发生率、生命质量[肝癌患者生命质量测定量表(QOL-LC)]评分和护理满意度。结果:护理后,两组VAS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组入睡时间、睡眠质量、睡眠效率、睡眠时间、睡眠紊乱、催眠药物、日间功能等PSQI评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);两组躯体功能、心理功能、社会功能、症状不良反应等QOL-LC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);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:FCUS-PDCA持续质量改进模式护理应用于肝癌介入治疗患者可提高生命质量评分,降低疼痛程度评分、负性情绪评分、睡眠质量评分和并发症发生率,其效果优于常规护理。

Objective:To observe application effects of FOCUS-PDCA continuous quality improvement model nursing in patients with liver cancer undergoing interventional therapy.Methods:A prospective study was conducted on 114 patients with liver cancer admitted to this hospital from June 2020 to June 2022.They were divided into control group and observation group according to the random number table method,57 cases in each group.The control group was treated with routine nursing,while the observation group was treated with FOCUS-PDCA continuous quality improvement model nursing.The pain degree[visual analogue scale(VAS)]score,the negative emotion[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)]score,the sleep quality[Pittsburgh sleep quality index scale(PSQI)]score,the incidence of complications,the quality of life[quality of life scale for patients with liver cancer(QOL-LC)]score,and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the VAS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The HAMA and HAMD scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The PSQI scores of falling sleep time,sleep quality,sleep efficiency,sleep time,sleep disorder,hypnotic drugs and daytime function in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The QOL-LC scores of physical function,psychological function,social function,symptoms and adverse reactions in the two groups were higher than those before the nursing,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:The FCUS-PDCA continuous quality improvement model nursing in the patients with liver cancer undergoing interventional therapy can improve the quality of life scores and reduce the pain degree scores,the negative emotion scores,the sleep quality scores and the incidence of complications.Moreover,it is superior to the routine nursing.