摘要
目的探讨PDCA循环护理管理在妊娠滋养细胞肿瘤化疗患者中的应用。方法选取2019年2月至2020年7月间湖南省妇幼保健院收治的280例妊娠滋养细胞肿瘤化疗患者,根据护理方法不同分为观察组和对照组,每组140例。观察组患者采用PDCA循环护理管理,对照组患者采用常规护理管理,比较两组患者护理效果及各时间段Piper疲乏修正量表(RPFS)评分和负面情绪。同时选择40位实施本次护理措施的护理人员作为观察对象,20人照护观察组,20人照护对照组,比较两组护理人员批判性思维能力测量表(CTDI-CV)评分。结果观察组患者护理服务态度满意度和护理质量满意度均高于对照组,护理差错率和医护投诉率均低于对照组,差异均有统计学意义(均P<0.05)。护理管理前,两组患者RPFS评分和负面情绪比较,差异无统计学意义(P>0.05)。护理管理后,两组患者RPFS、SDS和SAS评分、均较护理前降低,且观察组均低于对照组,差异均有统计学意义(均P<0.05)。护理管理后,两组医护人员CTDI-CV量表评分均较护理前升高,且观察组护理人员更高于对照组,差异均有统计学意义(均P<0.05)。观察组患者护理期间不良反应总发生率为5.0%(7例),对照组为15.7%(22例),差异有统计学意义(P<0.05)。结论对妊娠滋养细胞肿瘤化疗患者实施PDCA循环护理管理,效果较好,可提升专科护理质量,减轻患者负面情绪和疲劳感。
Objective To explore the application of plan-do-check-adjust(PDCA)cycle for nursing management in patients with gestational trophoblastic tumors on chemotherapy.Methods A total of 280 patients with gestational trophoblastic tumors receiving chemotherapy at Hunan Provincial Maternal and Child Health Hospital were selected between February 2019 and July 2020.They were divided into an observation group and a control group according to the nursing they received with 140 patients in each group.The observation group received nursing based on PDCA cycle and the control group received conventional nursing.Nursing efficacy,Piper fatigue modification scale(RPFS)scores and negative emotions at different time points were compared between the two groups.At the same time,40 nursing staff who implemented nursing in the study were selected as subjects,and of them 20 nurses for the PDCA cycle group and 20 for the control group.critical thinking disposition inventory,Chinese version(CTDI-CV)scores for nursing staff were compared between the two groups.Results Patient satisfaction with nurses’attitude and quality of nursing were higher in the observation group than in the control group and the error rate and complaint rate were lower in the observation group than in the control group(all P<0.05).Before nursing,there was no significant difference in scores of RPFS and negative emotions between the two groups(P>0.05).After nursing,RPFS,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores decreased compared with those before nursing with the observation group lower than the control group(P<0.05).In addition,CTDI-CV score increased in both group after nursing management with the observation group higher than the control group(all P<0.05).The overall rate of adverse reactions was 5.0%(7 patients)during the nursing period in the observation group and 15.7%(22 patients)in the control group(P<0.05).Conclusion The efficacy of PDCA cycle nursing management is significant in patients with gestational trophoblastic tumors on chemotherapy,which can improve the quality of specialist care and reduce the negative emotions and fatigue of patients.
作者
蒋萍
杨岢岚
李春梅
JIANG Ping;YANG Ke-lan;LI Chun-mei(The Fifth Department of Gynecology,Hunan Provincial Maternal and Child Health Hospital,Changsha 410008,China;The Second Department of Obstetrics,Hunan Provincial Maternal and Child Health Hospital,Changsha 410008,China)
出处
《中国肿瘤临床与康复》
2021年第3期346-350,共5页
Chinese Journal of Clinical Oncology and Rehabilitation
