分析基于PDCA循环模式对改善消化内镜肿瘤切除患者睡眠质量的应用效果

Analysis of the Application Effect of PDCA Cycle Mode on Improving Sleep Quality in Patients Undergoing Endoscopic Tumor Resection

目的:分析基于PDCA循环模式对改善消化内镜肿瘤切除患者睡眠质量的应用效果。方法:选取2020年6月至2022年6月福建省泉州第一医院消化内镜中心收治的肿瘤切除患者120例作为研究对象,按照随机数字表法分为对照组和观察组,每组60例。对照组给予常规护理干预,观察组在对照组基础上给予PDCA循环模式针对性护理。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用视觉模拟评分法(VAS)比较2组患者干预前后的疼痛感受,采用健康调查简表(SF-36)比较2组患者的生命质量,并比较2组患者的护理满意度。结果:干预后,观察组PSQI评分、VAS评分显著低于对照组,观察组SF-36评分显著高于对照组,观察组护理满意度显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对消化内镜肿瘤切除患者实施PDCA循环模式护理,能够有效改善其睡眠质量,降低术后疼痛感受,提高生命质量,获得较高的护理满意度,值得在临床中推广。

Objective:To analyze the application effect of PDCA cycle mode on improving sleep quality in patients undergoing endoscopic tumor resection.Methods:A total of 120 tumor resection patients admitted to the Digestive Endoscopy Center of Quanzhou First Hospital of Fujian Province from June 2020 to June 2022 were selected as the study subjects.They were randomly divided into a control group(n=60)and an observation group(n=60)using a random number table method.The control group received routine nursing intervention,while the observation group received targeted PDCA cycle nursing on the basis of the control group.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients.The Visual Analog Scale(VAS)was used to compare the pain sensation of the two groups of patients before and after intervention.The MOS 36-item Short-form Health Survey(SF-36)was used to compare the quality of life of the two groups of patients,and the nursing satisfaction of the two groups of patients was compared.Results:After intervention,the PSQI score and VAS score of the observation group were significantly lower than those of the control group,the SF-36 score of the observation group was significantly higher than that of the control group,and the nursing satisfaction of the observation group was significantly higher than that of the control group.The difference between the two groups was statistically significant(P s<0.05).Conclusion:Implementing PDCA cycle nursing for patients undergoing endoscopic resection of digestive tumors can effectively improve their sleep quality,reduce postoperative pain,improve their quality of life,and achieve high nursing satisfaction.It is worth promoting in clinical practice.