PDCA循环管理在胃肠肿瘤患者中的应用价值  

Application value of PDCA circulation management in gastrointestinal cancer patients

作　　者：杜红愚 DU Hongyu(Beijing Tsinghua Changgung Hospital Affiliated to Beijing Tsinghua University,Beijing,102218,China)

机构地区：[1]清华大学附属北京清华长庚医院,北京市102218

出　　处：《护理实践与研究》2023年第8期1184-1188,共5页Nursing Practice and Research

摘　　要：目的 探讨PDCA循环管理在胃肠肿瘤患者护理中的应用价值。方法 选取2019年5月—2021年4月在北京清华长庚医院收治的100例胃肠肿瘤患者为研究对象,所有患者经病理检查证实为恶性肿瘤,按照组间基本资料具有可比性的原则分为对照组和观察组,每组50例。对照组给予常规护理,观察组在对照组基础上施行PDCA循环管理。统计两组患者术后康复时间、胃肠功能恢复时间、下床活动时间和住院时间、饮食治疗依从性、营养状况以及护理满意程度。结果 观察组术后康复时间、胃肠功能恢复时间、下床活动时间和住院时间较对照组缩短(P<0.05)。通过自行设计饮食依从性量表评估患者的饮食症状和依从性,观察组饮食依从性评分较对照组高(P<0.05)。观察组各项营养指标优于对照组(P<0.05)。观察组护理满意程度较对照组高(P<0.05)。结论 对胃癌肿瘤患者围术期实施PDCA循环管理,可提高患者饮食依从性,改善患者营养状况,提高患者满意程度。Objective To explore the application value of PDCA circulation management in the nursing of gastrointestinal cancer patients.Methods A total of 100 patients with gastrointestinal tumors admitted to Beijing Tsinghua Changgung Hospital from May 2019 to April 2021 were selected as the study subjects.All patients were confirmed as malignant tumors by pathological examination.They were divided into a control group and an observation group based on the principle of comparability of basic data between the groups,with 50 patients in each group.The control group was given routine nursing,while the observation group was administered PDCA cycle management based on the control group.The postoperative recovery time,gastrointestinal function recovery time,time to get out of bed and stay in hospital,dietary treatment compliance,nutritional status,and nursing satisfaction of the two groups of patients were statistically analyzed.Results The postoperative recovery time,gastrointestinal function recovery time,time to get out of bed and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The self designed dietary compliance scale was used to evaluate the dietary symptoms and compliance of patients,the score of dietary compliance in the observation group was higher than that in the control group(P<0.05).The nutrition indicators in the observation group were better than those in the control group(P<0.05).The nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion The implementation of PDCA cycle management in patients with gastric cancer during perioperative period can improve their dietary compliance,nutritional status,and satisfaction.

关 键 词：胃肠肿瘤 围术期 饮食护理 PDCA循环管理 营养状况 

分 类 号：R47[医药卫生—护理学]