摘要
目的构建乳腺癌患者癌性伤口治疗管理模式,提升患者生活质量。方法应用QFD创新型品管圈,对乳腺癌患者癌性伤口治疗及护理需求进行挖掘,运用KJ法、Kano模型识别关键质量特性,运用失效模式与效应分析转化为具体的管理策略,实施质量改进。结果对策实施后,患者伤口渗液异味投诉率下降至15%,护士换药规范操作执行率上升至97%,伤口测量准确率上升至96%,患者换药疼痛评分下降至4分,镇痛评估覆盖率上升至90%,患者自我效能感提升率上升至90%,伤口敷料滑脱率下降至10%,患者焦虑评分下降至62分。结论通过开展QFD创新型品管圈,提升了乳腺癌患者癌性伤口治疗效果,缓解了患者身心痛苦,提高了患者生活质量。
Objective To construct a management model for the treatment of cancerous wounds in breast cancer patients,thereby improving their quality of life.Methods The QFD innovative quality control circle was applied to explore the treatment and nursing needs of breast cancer patients with cancerous wounds.The KJ method and Kano model were utilized to identify key quality characteristics,which were then translated into specific management strategies using failure mode and effects analysis for quality improvement implementation.Results After the implementation of the strategies,the complaint rate regarding odor from wound exudate decreased to 15%,the compliance rate of nurses'standardized dressing change procedures increased to 97%,the accuracy rate of wound measurement rose to 96%,patients'pain scores during dressing changes decreased to 4 points,the coverage rate of pain assessment increased to 90%,the improvement rate of patients'self-efficacy rose to 90%,the incidence of wound dressing dislodgement decreased to 10%,and patients'anxiety scores decreased to 62 points.Conclusion By implementing the QFD innovative quality control circle,the treatment outcomes of cancerous wounds in breast cancer patients were enhanced,their physical and psychological distress was alleviated,and their quality of life was improved.
作者
汤丰榕
段晓晓
莫晓晨
杜平丽
韩许燕
卢淑芳
张蕾
TANG Fengrong;DUAN Xiaoxiao;MO Xiaochen(Minhang Branch,Fudan University Shanghai Cancer Center,Shanghai,200240,China;不详)
出处
《中国卫生质量管理》
2026年第2期74-79,92,共7页
Chinese Health Quality Management
基金
吴阶平医学基金会临床科研专项资助基金(编号:320.6750.2020-06-21)
上海市闵行区自然科学研究基金项目(编号:2025MHZ151)。
关键词
品管圈
(QFD)创新型品管圈
乳腺癌
癌性伤口
治疗管理模式
Quality Control Circle
QFD Innovative Quality Control Circle
Breast Cancer
Cancerous Wound
Treatment Management Model
