品管圈干预在育龄期宫颈癌子宫切除患者围手术期疾病不确定感及焦虑状况中的应用研究  

The effects of quality control circle on the uncertainty in illness and anxiety among productive age women undergoing hysterectomy with cervical cancer during the perioperative period

作　　者：魏清风[1] 郑晓玲[2] 魏彩芳 谢志芬[4] 李梅香[3] 何玉娥[3] 王华玲[3] 

机构地区：[1]江西省肿瘤医院护理部,江西南昌330000 [2]天津医科大学肿瘤医院,天津300000 [3]江西省肿瘤医院妇瘤科,江西南昌330000 [4]南昌大学护理学院,江西南昌330000

出　　处：《赣南医学院学报》2017年第1期107-113,116,共8页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：国家临床专科重点建设项目(2012649);江西省科技计划项目(20151BBG70139)

摘　　要：目的:探讨品管圈干预对育龄期宫颈癌子宫切除患者围手术期疾病不确定感及焦虑状况的管理效果,为临床护理干预提供依据。方法:采用便利抽样的方法抽取2015年1月~2016年3月在江西省某三级甲等医院住院拟行子宫切除的患者83例,随机分为对照组和干预组,其中对照组42例,干预组41例,对照组由临床护士实施宫颈癌手术常规护理,干预组在对照组的基础上由QCC成员实施标准化的品管圈干预。分别于入院时、术前一天、术晨、出院前一天对患者两组的疾病不确定感和焦虑状态进行调查,并在入院时和出院前一天对患者的疾病相关知识进行调查。结果:干预后,在术前一天、术晨、出院前一天这三个时点,干预组疾病不确定感总分和焦虑状态得分均低于对照组,差异均有统计学意义(P<0.01),两组患者不可预测维度在术晨这个时点差异无统计学意义(P>0.05),两组患者复杂性维度在各个时点差异均无统计学意义(P>0.05);干预后,干预组患者疾病相关知识掌握情况得分高于对照组,差异有统计学意义(P<0.01)。结论:标准化的品管圈干预可以降低患者各个时点的疾病不确定感水平和焦虑状况,而且可以提高患者疾病相关知识的掌握水平,具有临床指导意义。Objective： To explore the management effects of quality control circle on the uncertainty in illness and anxiety among productive age women undergoing hysterectomy with cervical cancer during the perioperative period, and providing basis for clinical nursing intervention. Methods： Eighty-three cases of productive age women undergoing hysterectomy with cervical cancer were selected from one third-grade class-A hospital of Jiangxi province during January of 2015 to March of 2016 by convenience sampling method. The patients were divided into control group （42） and intervention group （41） according to the order of admission. The control group patients were given routine nursing care of cervical cancer operation, and the intervention group patients were given standardized intervention of quality control circle based on the routine nursing care. The intervention time began from the patients admitting to hospital and ended on the day be- fore they discharged. The patients of the two groups were investigated using Mishel＇s Uncertainty in Illness Scale-Adult （MUIS-A） and State Anxiety Inventory （SAI） respectively on the day before surgery, the morning of surgery and the day before discharged, and the disease related knowledge of the patients were surveyed when the patients were admitted to hospital and the day before discharged. Results： The total scores of uncertainty in illness and anxiety state at the three time points of the intervention group were lower than that of the control group, the difference was statistically significant （P 〈 0. 01 ） ; The unpredictability dimension was no significant difference in the two groups of patients at the morning of surgery （P 〉 0.05 ） ; At different time points , there were no significant differences of the two groups in the complexity dimension （ P 〉 0. 05） ; After intervention, the score of disease related knowledge in the intervention group was higher than that in the control group, and the difference was statistically significant （ P

关 键 词：育龄期妇女 宫颈癌 子宫切除术 疾病不确定感 品管圈 

分 类 号：R473.73[医药卫生—护理学]