PDCA循环管理联合多元化健康指导对肺癌患者围手术期的护理效果

Effect of PDCA Cycle Management Combined with Diversified Health Guidance on Perioperative Nursing of Patients with Lung Cancer

目的探究PDCA循环管理联合多元化健康指导对肺癌患者围手术期的护理效果。方法选择2020年12月至2022年12月期间在河南省胸科医院手术治疗的肺癌患者82例,应用随机数表法将其分为对照组(常规护理)及观察组(PDCA循环管理联合多元化健康指导)各41例,对比两组焦虑、抑郁、自我效能评分、肺功能指标、继发性感染发生率、自护能力评分、护理质量评分。结果观察组焦虑、抑郁、自我效能评分优于对照组,差异有统计学意义(P<0.05)。对照组肺功能指标水平低于观察组,差异有统计学意义(P<0.05)。观察组继发性感染发生率低于对照组,差异有统计学意义(P<0.05)。对照组自护能力评分低于观察组,差异有统计学意义(P<0.05)。观察组护理质量评分高于对照组,差异有统计学意义(P<0.05)。结论对肺癌患者围术期进行PDCA联合多元化健康指导,可强化患者自我效能感,改善不良情绪、肺功能指标,降低继发性感染发生率,提高患者自护能力,提升护理质量评分。

Objective To explore the effect of PDCA cycle management combined with diversified health guidance on perioperative nursing of patients with lung cancer.Methods A total of 82 patients with lung cancer who received surgical treatment in Henan Chest Hospital from December 2020 to December 2022 were selected and divided into a control group(routine care)and an observation group(PDCA cycle management combined with diversified health guidance)with 41 cases each by random number table method.Anxiety,depression,self-efficacy score,pulmonary function index,secondary infection rate,selfcare ability score,and nursing quality score were compared between the two groups.Results The anxiety,depression,and selfefficacy scores of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).The level of lung function indexes in the control group was lower than that in the observation group,and the difference was statistically significant(P<0.05).The incidence of secondary infection in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The self-care ability score of the control group was lower than that of the observation group,and the difference was statistically significant(P<0.05).The nursing quality score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion PDCA combined with diversified health guidance in patients with lung cancer during the perioperative period can strengthen patients'self-efficacy,improve adverse mood and lung function indicators,reduce the incidence of secondary infection,improve patients'self-care ability,and improve nursing quality score.