基于PDCA理念的干预在脑胶质瘤患者中的应用效果  

Application effect of intervention based on PDCA concept in patients with brain glioma

作　　者：王静[1] 位亚娟 张玉娇 王勇[1] WANG Jing;WEI Yajuan;ZHANG Yujiao;WANG Yong(Neurological Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院神经重症监护病房,郑州450000

出　　处：《癌症进展》2025年第6期707-710,共4页Oncology Progress

摘　　要：目的探讨基于PDCA理念的干预在脑胶质瘤患者中的应用效果。方法根据干预方式的不同将86例脑胶质瘤手术患者分为观察组(n=42)和对照组(n=44),对照组患者围手术期接受常规干预,观察组患者围手术期接受基于PDCA理念的干预。比较两组患者的心理状况[正性负性情绪量表(PANAS)]、自我管理情况[中文版癌症自我管理效能感量表(C-SUPPH)]、并发症发生情况及满意度。结果干预后,两组患者正性情绪评分、C-SUPPH评分均高于本组干预前,负性情绪评分均低于本组干预前,观察组患者正性情绪评分、C-SUPPH评分均高于对照组,负性情绪评分低于对照组,差异均有统计学意义(P﹤0.05)。观察组并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论基于PDCA理念的干预可改善脑胶质瘤患者的心理状况及自我管理情况,降低并发症发生率,提高满意度。Objective To investigate the application effect of intervention based on PDCA concept in patients with brain glioma.Method A total of 86 patients who underwent brain glioma surgery were divided into observation group(n=42)and control group(n=44)according to different intervention methods.The control group received routine perioperative intervention,while the observation group received PDCA-based intervention during the perioperative period.The psychological status[positive and negative affect scale(PANAS)],self-management[Chinese-version strategies used by people to promote health(C-SUPPH)],incidence of complications and satisfaction were compared between the two groups.Result After the intervention,the scores of positive emotion and C-SUPPH in both groups were higher than those before the intervention,while the scores of negative emotion were lower than those before the intervention,the scores of positive emotion and C-SUPPH in the observation group were higher than those in the control group,and the score of negative emotion was lower than that in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than that in the control group,and the total satisfaction rate was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The intervention based on the PDCA concept can improve the psychological status and self-management of patients with brain glioma,reduce the incidence of complications,and increase satisfaction.

关 键 词：脑胶质瘤 心理状况 自我管理 并发症 满意度 

分 类 号：R739.41[医药卫生—肿瘤]