摘要
目的分析计划-实施-确认-处置(PDCA)程序应用于腹腔镜胃穿孔修补术后患者的效果。方法选取2018年4月至2020年6月周口市第一人民医院收治的87例腹腔镜胃穿孔修补术后患者,根据建档时间分为对照组(n=43)和观察组(n=44)。对照组接受常规护理,观察组在常规护理基础上接受PDCA程序护理。比较两组围手术期疼痛程度[采用视觉模拟评分(VAS)评估]、营养状态[总蛋白(TP)、血红蛋白(Hb)、白蛋白(Alb)]、术后并发症发生率、睡眠质量、生活质量[采用生活质量评定量表(QLQ-C30)评估]及护理满意度。结果术后3、7、14 d,观察组VAS评分较对照组低(P<0.05);术后14 d,两组血浆TP、Hb、Alb水平均高于术前,且观察组高于对照组(P<0.05);观察组术后并发症发生率[4.55%(2/44)]低于对照组[20.93%(9/43)](P<0.05);干预后两组睡眠质量评分均降低,且观察组低于对照组(P<0.05);干预后两组QLQ-C30评分均升高,且观察组高于对照组(P<0.05);观察组护理满意度(95.45%)高于对照组(74.42%)(P<0.05)。结论PDCA程序应用于腹腔镜胃穿孔修补术后患者,可缓解术后疼痛,优化营养状态,降低术后并发症发生率,提高睡眠质量及生活质量。
Objective To analyze the effects of plan-do-check-act(PDCA)procedure in patients after laparoscopic gastric perforation repair.Methods A total of 87 patients who underwent laparoscopic gastric perforation repair in Zhoukou First People’s Hospital from April 2018 to June 2020 were selected and divided into control group(n=43)and observation group(n=43)according to the time of file establishment.The control group received routine nursing care,and the observation group received PDCA procedure on the basis of routine care.The perioperative pain level[assessed by visual analogue scale(VAS)],nutritional status[total protein(TP),hemoglobin(Hb),albumin(Alb)],postoperative complication rate,sleep status,quality of life[assessed by quality of life questionnaire(QLQ-C30)]and nursing satisfaction were compared between the two groups.Results The VAS score of the observation group was lower than that of the control group at 3,7 and 14 days after operation(P<0.05).The levels of plasma TP,Hb and Alb of the two groups were higher than those before operation at 14 days after operation,and the levels of the observation group were higher than those of the control group(P<0.05).The incidence of postoperative complications of the observation group[4.55%(2/44)]was lower than that[20.93%(9/43)]of the control group(P<0.05).After intervention,the sleep quality scores of the two groups were decreased,and the score of the observation group was lower than that of the control group(P<0.05).After intervention,the QLQ-C30 scores of the two groups were improved,and the score of the observation group was higher than that of the control group(P<0.05).The nursing satisfaction of the observation group(95.45%)was higher than that(74.42%)of the control group(P<0.05).Conclusion PDCA procedure applied to patients after laparoscopic gastric perforation repair can relieve postoperative pain,optimize nutritional status,reduce the incidence of postoperative complications,and improve sleep quality and quality of life.
作者
朱荣胜
高颖
ZHU Rongsheng;GAO Ying(Nursing Department,Zhoukou First People’s Hospital,Zhoukou 466700,China;General Surgery,Zhoukou First People’s Hospital,Zhoukou 466700,China)
出处
《河南医学研究》
CAS
2022年第14期2635-2638,共4页
Henan Medical Research
