PDCA循环管理护理干预对膀胱癌患者术后恢复和并发症的影响

Effect of nursing intervention based on PDCA cycle management on postoperative recovery and complications in patients with bladder cancer

目的探讨PDCA循环管理护理干预对膀胱癌患者术后情绪状态、尿道感染率及生命质量的影响。方法选取2017年5月至2018年5月间中山大学肿瘤防治中心收治的86例膀胱癌患者,采用随机数字表法分为观察组和对照组,每组43例。观察组患者采用基于PDCA循环管理的护理,对照组患者采用常规护理,比较两组患者术后情绪状态、尿道感染率及生活质量情况。结果护理后,两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于护理前,且观察组患者评分均低于对照组,差异均有统计学意义(均P <0. 05)。观察组患者尿道感染7例(16. 3%),对照组患者尿道感染15例(34. 9%),两组比较,差异有统计学意义(P <0. 05)。护理后,两组患者躯体健康、心理健康、社会功能及物质条件评分均高于护理前,且观察组患者各项评分均高于对照组,差异均有统计学意义(均P <0. 05)。结论 PDCA循环管理护理干预可有效降低膀胱癌患者术后不良情绪和尿道感染率,提高生活质量。

Objective To investigate the effects of nursing intervention based on PDCA cycle management on postoperative emotional state,urinary tract infection rate and quality of life in patients with bladder cancer.Methods A total of 86 patients with bladder cancer who admitted to Center for Cancer Prevention and Treatment,Sun Yat-sen University from May 2017 to May 2018 were selected as subjects.The patients were randomly divided into an observation group and a control group by random number table method,with 43 patients in each group.The observation group was given care based on PDCA circulation management,and the control group was given routine care.The postoperative emotional status,urinary tract infection rate and quality of life were compared between the two groups.Results After treatment,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were lower in both groups when compared with before the nursing(all P<0.05).SAS and SDS scores were significantly lower in the observation group than in the control group(all P<0.05).Urinary tract infection occurred in 7 patients(16.3%)in the observation group and 15 patients(34.9%)in the control group(all P<0.05).After nursing,scores of physical health,mental health,social function and material condition were improved in both groups with the observation group significantly higher than the control group(all P<0.05).Conclusion The nursing intervention based on PDCA circulation management can effectively reduce the postoperative adverse emotion and urinary tract infection rate in patients with bladder cancer and improve the quality of life.