PDCA循环护理在肾癌患者术后并发症预防中的应用效果  

Application Effect of PDCA Circulation Nursing in Prevention of Postoperative Complications in Patients with Renal Cell Carcinoma

作　　者：苏丽娟[1] 刘敏[1] 陈妙琛[1] 张明玉[1] 蔡小兰 SU Lijuan;LIU Min;CHEN Miaochen(Zhanjiang Central People’s Hospital,Zhanjiang 524045,China)

机构地区：[1]湛江中心人民医院,广东湛江524045

出　　处：《中外医学研究》2019年第11期91-93,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨PDCA循环护理在肾癌患者术后并发症预防中的应用效果。方法:选取笔者所在医院2013年12月-2018年12月收治的58例肾癌患者作为研究对象,所有患者均施行经腹入路腹腔镜下肾癌根治术。按随机数字表法将其分为A组(29例)与B组(29例),A组采用常规护理方法,B组采用PDCA循环护理方法。比较两组患者术后并发症(伤口感染、肺部感染、腹胀和下肢深静脉血栓)的发生率和患者的满意度。结果:B组患者的术后并发症总发生率低于A组,差异有统计学意义(P<0.05),B组患者的总满意度高于A组,差异有统计学意义(P<0.05)。结论:PDCA循环护理可以提高护理质量和患者的满意度,也能降低术后并发症的发生率,有利于改善肾癌患者的预后。Objective:To investigate application effect of PDCA circulation nursing in prevention of postoperative complications in patients with renal cell carcinoma.Method:From December 2013 to December 2018,58 patients with renal cell carcinoma were selected as the study subjects in our hospital.All patients were underwent transabdominal laparoscopic radical nephrectomy.They were divided into group A(29 cases) and group B(29 cases) by the random number table method.The methods used in group A and group B were respectively for routine nursing and PDCA circulation nursing.The incidence of postoperative complications(wound infection,pulmonary infection,bloating,and deep venous thrombosis of the lower extremities) and patient satisfaction in the two groups were compared.Result:The total incidence of postoperative complications in the group B was lower than that in the group A,with significant difference(P<0.05).The total satisfaction in the group B was higher than that in the group A,with significant difference(P<0.05).Conclusion:PDCA cycle nursing can improve the quality of care and patient satisfaction,which also can reduce the incidence of postoperative complications,and improve the prognosis of patients with renal cancer.

关 键 词：PDCA循环护理 肾癌 术后并发症 预防 

分 类 号：R473.73[医药卫生—护理学]