实施PDCA护理管理对改善食管癌根治术后患者疼痛及呼吸功能影响研究  

Study on the effect of PDCA nursing management on the improvement of pain and respiratory function in patients with esophageal cancer after radical surgery

作　　者：张艳 Zhang Yan(Tianjin Medical University Cancer Institute&Hospital,National Clinical Research Center for Cancer&Tianjin’s Clinical Research Center for Cancer&Key Laboratory of Cancer Prevention and Therapy,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院,国家恶性肿瘤临床医学研究中心,天津市恶性肿瘤临床医学研究中心,天津市肿瘤防治重点实验室,天津300060

出　　处：《首都食品与医药》2024年第19期128-131,共4页Capital Food Medicine

基　　金：天津市医学重点学科(专科)建设项目(TJYXZDXK-011A)。

摘　　要：目的探讨实施PDCA护理管理对改善食管癌根治术后患者疼痛及呼吸功能的影响。方法选取的研究对象为天津医科大学肿瘤医院2023年2月-2024年2月期间进行食管癌根治术的122例患者,采用随机数字表法分成两组,即常规护理组(60例)和PDCA组(62例),常规护理组患者住院期间予以一般常规护理,PDCA组患者住院期间予以PDCA护理模式进行护理。比较两组患者护理后不同时间段疼痛、呼吸功能变化、并发症发生情况、手术相关指标以及生活质量。结果PDCA组在术后3天、5天、7天三个时间阶段疼痛评分均明显低于常规护理组(P<0.05);PDCA组在护理后一周FEV1、FVC、PEF表达水平均明显高于常规护理组(P<0.05);相比PDCA组,常规护理组并发症发生率更高(P<0.05);PDCA组首次排气时间、饮食恢复时间、住院时间均比常规护理组短(P<0.05);PDCA组患者在生理领域、心理领域、社会关系领域、环境领域评分均比常规护理组高(P<0.05)。结论PDCA护理模式可有效降低食管癌根治术后并发症发生率,缓解患者疼痛并改善呼吸功能,提高患者的生存质量。Objective To explore the effect of PDCA nursing management on improving pain and respiratory function in patients with esophageal cancer after radical surgery.Methods The selected subjects were 122 patients who underwent radical esophagectomy for esophageal cancer in our hospital from February 2023 to February 2024,and were then divided into two groups by random number table method:routine care group(60 cases)and PDCA group(62 cases).The routine care group was given general routine care during hospitalization.Patients in PDCA group were given PDCA nursing mode during hospitalization.Pain,respiratory function changes,complications,operation-related indexes and quality of life were compared between the two groups in different time periods after nursing.Results The pain score of PDCA group was significantly lower than that of conventional care group at 3 days,5 days and 7 days after surgery(P<0.05).The expression levels of FEV1,FVC and PEF in PDCA group were significantly higher than those in conventional care group one week after nursing(P<0.05).Compared with PDCA group,the incidence of complications in conventional care group was higher(P<0.05).The first exhaust time,diet recovery time and hospital stay in PDCA group were shorter than those in conventional care group(P<0.05).The scores in physiology,psychology,social relation and environment in PDCA group were higher than those in conventional care group(P<0.05).Conclusion PDCA nursing model can effectively reduce the incidence of complications after radical resection of esophageal cancer,improve the pain and respiratory function of patients,and improve the quality of life of patients.

关 键 词：PDCA护理 食管癌 疼痛 视网膜棉绒斑 呼吸功能 并发症发生率 生存质量 

分 类 号：R473.73[医药卫生—护理学]