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目的探讨PDCA循环模式在肠造瘘术后患者临床护理干预中的应用效果。方法选取厦门大学附属第一医院普外科2014—2016年收治的肠造瘘患者114例,按照护理方式的不同将所有患者分为对照组和观察组,各57例。患者入院后均择期行经腹会阴联合直肠癌根治术治疗,对照组患者采用常规护理干预,观察组患者采用PDCA循环模式护理干预。比较两组患者干预后排便规律情况、能够自我护理情况及抑郁、焦虑发生情况,并观察比较两组患者护理期间并发症发生情况。结果干预后,观察组患者排便规律、能够自我护理者所占比例高于对照组(P<0.05)。观察组患者抑郁、焦虑发生率均低于对照组(P<0.05)。观察组患者并发症发生率低于对照组(P<0.05)。结论在肠造瘘术后患者临床护理干预中应用PDCA循环模式可明显改善患者排便情况,提高患者自我护理能力,并可有效改善患者心理情绪,减少并发症发生。
Objective To investigate the effect of PDCA circulation mode in clinical nursing intervention after intestinal ostomy. Methods 114 cases of enterostomy patients who were admitted to the First Affiliated Hospital of Xiamen University from 2014 to 2016 were divided into control group and observation group according to different nursing methods, 57 cases in each group. After admission, all patients underwent elective abdominal radical perineum combined with radical resection of rectal cancer. Patients in the control group received routine nursing intervention and patients in the observation group received PDCA cycle-based nursing intervention. The defecation regularity, self-care situation, depression and anxiety of the two groups were compared. The incidence of complications during the nursing period was compared between the two groups. Results After intervention, the defecation rate in the observation group was higher than that in the control group (P <0.05). The incidence of depression and anxiety in the observation group was lower than that in the control group (P <0.05). The complication rate in observation group was lower than that in control group (P <0.05). Conclusions The application of PDCA cycle in clinical nursing intervention after intestinal ostomy can significantly improve defecation and improve self-care ability of patients, and can effectively improve the psychological mood and reduce the incidence of complications.