PDCA循环法在降低造血干细胞移植患者口腔粘膜炎发生率中的应用  

Application of PDCA Cycle in Reducing the Incidence of Oral Mucositis in HSCT Patients

作　　者：孙春红[1] 姚建娜[1] 王嫚 林欢[1] 王晓宁[1] 郭彩利[1] SUN Chun-hong;YAO Jian-na;WANG Man;LIN Huan;WANG Xiao-ning;GUO Cai-li(Dept. of Hematology,The First Affiliated Hospital,Xi’an Jiaotong University Xi’an,Shaanxi Province 710061,China)

机构地区：[1]西安交通大学第一附属医院血液科,陕西西安710061

出　　处：《昆明医科大学学报》2017年第10期70-73,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81600179);陕西省自然科学基础研究计划青年基金资助项目(2016JQ8057)

摘　　要：目的探讨运用PDCA循环法对降低造血干细胞移植(HSCT)患者移植期间口腔粘膜炎发生情况的效果观察,以减轻移植患者的痛苦,提高移植护理质量.方法抽取西安交通大学第一附属医院2014年9月至2016年12月行造血干细胞移植的患者80例,对照组38例和观察组42例,对照组按传统的管理及护理常规进行监管,观察组遵循PDCA循环法,结合实际情况,制定切实可行的计划;关注容易引起感染的因素,精心护理;科学反馈,及时总结.结果实施PDCA循环管理后患者口腔黏膜的发生率由活动前的63.15%降至活动后的38.09%,差异有统计学意义(P<0.05).结论 PDCA循环降低了造血干细胞移植患者口腔粘膜炎的发生率,可有效降低口腔粘膜感染的发生率,以及减轻口腔黏膜炎的严重程度,提高移植患者的生活质量,促进患者康复,节省了医疗支出.Objective To evaluate the management efficacy of PDCA Cycle in reducing the incidence of oral mucositis in HSCT patients,so as to alleviate the pain of patients and improve the nursing quality.Methods80patients received HSCT in our hospital from September2014to December2016were treated with PDCA Cycle(n=42)or conventional treatments(n=38).We focused on the infection factors,careful nursing,and gave the scientific feedback,timely summarization.Results PDCA Cycle reduced the incidence of oral mucositis in HSCT patients from63.15%to38.09%with a statistically significant difference(<0.05).Conclutions PDCA Cycle could improve the management quality of oral mucositis in HSCT patients,shorten the severity greatly and promote the satisfaction of patients,thus promote the recovery of the patients.

关 键 词：PDCA循环 造血干细胞移植 口腔粘膜炎 

分 类 号：R473.3[医药卫生—护理学]