PDCA循环护理对胃癌患者行植入式静脉输液港并发症发生率的影响

Impact of PDCA Cycle Nursing on the Incidence of Complications in Gastric Cancer Patients Undergoing Implantable Venous Port Insertion

目的:探讨计划-实施-检查-调整(PDCA)循环护理模式对胃癌患者行植入式静脉输液港并发症发生率的影响。方法:选取2023年1月—2024年5月在江西省肿瘤医院行植入式静脉输液港的113例胃癌患者作为研究对象,采用随机数字表法将其分为对照组(56例)和观察组(57例)。对照组采用常规护理模式,观察组采用PDCA循环护理模式,对比两组患者在护理前、护理后3周的生活质量,并发症发生率,患者依从性及患者护理满意度。结果:护理前,两组患者的生存质量[世界卫生组织生活质量简表(WHOQOL-BREF)]对比,差异无统计学意义(P>0.05);实施护理干预后,两组患者的生存质量均显著提升,观察组提升幅度显著优于对照组,差异均有统计学意义(P<0.05)。观察组患者的并发症发生率(17.54%)显著低于对照组(42.86%),差异有统计学意义(P<0.05)。观察组患者的依从性评分均明显高于对照组,差异均有统计学意义(P<0.05)。观察组患者的护理满意度高达96.49%,相比对照组的69.64%显著高,差异有统计学意义(P<0.05)。结论:与常规护理模式相比,PDCA循环护理模式显著提高了胃癌患者植入式静脉输液港后的生活质量,降低了并发症发生率,并提升了患者的依从性及对护理的整体满意度。

Objective:To investigate the impact of the plan-do-check-act(PDCA)cycle nursing model on the complication rate of gastric cancer patients with implanted venous access ports.Method:A total of 113 gastric cancer patients who underwent implantation of venous access ports at Jiangxi Cancer Hospital from January 2023 to May 2024 were selected as the study subjects.They were randomly divided into a control group(n=56)and an observation group(n=57)using a random number table.Routine nursing care was implemented in the control group,while PDCA cycle nursing care was applied in the observation group.Quality of life before and 3 weeks after nursing,complication rates,compliance and satisfaction with nursing care of patient were compared in both groups.Result:Before the nursing intervention,there was no statistically significant difference in the quality of life between the two groups of patients as measured by World Health Organization quality of life-bref(WHOQOL-BREF)(P>0.05).Following the implementation of nursing interventions,the quality of life in both groups improved significantly,with the improvement in the observation group being significantly greater than that in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group(17.54%)was significantly lower than that in the control group(42.86%),the difference was statistically significant(P<0.05).The compliance scores of patients in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).The overall nursing satisfaction rate in the observation group was as high as 96.49%,which was significantly higher than that in the control group(69.64%),the difference was statistically significant(P<0.05).Conclusion:Compared to conventional nursing model,the PDCA cycle nursing model significantly improves the quality of life in gastric cancer patients after implantable venous port placement,reduces the incidence of complications,and enhances patients'compliance and overall satisfaction with care.