基于PDCA的护理管理模式对急性白血病化疗患者生活质量及并发症的影响
Effect of PDCA-based nursing management model on the quality of life and complications of patients with acute leukemia undergoing chemotherapy.
作者信息
Zhou Jingfen, Xu Hong, Jiang Meiling, Cao Hongyun, Jiang Lili, Xu Ting, Teng Fang, Gu Fang
机构信息
Department of Hematology, Affiliated Hospital of Jiangnan University Wuxi, Jiangsu Province, China.
Department of Oncology, Affiliated Hospital of Jiangnan University Wuxi, Jiangsu Province, China.
出版信息
Am J Transl Res. 2021 Apr 15;13(4):3246-3253. eCollection 2021.
OBJECTIVE
To assess the influence of PDCA-based nursing management model on the quality of life (QOL) and complications of patients with acute leukemia undergoing chemotherapy.
METHODS
In this study, we randomly divided 118 patients with acute leukemia undergoing chemotherapy in our hospital into an observation group (n=59) and a control group (n=59). The control group was implemented routine nursing while the observation group was implemented PDCA-based nursing management. The anxiety, depression, QOL, cancer fatigue, total complication rate, sleep quality, and patients' satisfaction were compared between the two groups.
RESULTS
The SAS and SDS scores of the observation group were significantly lower than those of the control group (P<0.05). The scores of physical function, general health, social function, emotional role, and mental health of the observation group were superior to those of the control group (all P<0.05). The 4 dimensions of behavior/severity, sense, emotion and cognition/mood in the observation group were significantly lower than those of the control group (all P<0.05). The incidence of complications such as nausea and vomiting, infection, bleeding, phlebitis, bone marrow suppression and mucositis in the observation group was significantly lower than that in the control group (P<0.05). The scores of sleep quality in the observation group were significantly lower than those of the control group (all P<0.05). The observation group's satisfaction with PDCA-based nursing management was markedly higher than that of the control group (P<0.05).
CONCLUSION
The PDCA-based nursing management model applied to patients with acute leukemia undergoing chemotherapy has shown good effects, which can improve depression, anxiety, cancer fatigue, sleep quality and QOL. It also significantly reduced the incidence of complications and improved patients' satisfaction, which was worth of clinical application.
目的
评估基于PDCA的护理管理模式对接受化疗的急性白血病患者生活质量（QOL）及并发症的影响。
方法
本研究将我院118例接受化疗的急性白血病患者随机分为观察组（n = 59）和对照组（n = 59）。对照组实施常规护理，观察组实施基于PDCA的护理管理。比较两组患者的焦虑、抑郁、生活质量、癌因性疲乏、总并发症发生率、睡眠质量及患者满意度。
结果
观察组的SAS和SDS评分显著低于对照组（P < 0.05）。观察组的生理功能、总体健康、社会功能、情感角色和心理健康评分均优于对照组（均P < 0.05）。观察组行为/严重程度、感觉、情感和认知/情绪4个维度均显著低于对照组（均P < 0.05）。观察组恶心呕吐、感染、出血、静脉炎、骨髓抑制和口腔黏膜炎等并发症的发生率显著低于对照组（P < 0.05）。观察组的睡眠质量评分显著低于对照组（均P < 0.05）。观察组对基于PDCA的护理管理的满意度明显高于对照组（P < 0.05）。
结论
基于PDCA的护理管理模式应用于接受化疗的急性白血病患者显示出良好效果，可改善抑郁、焦虑、癌因性疲乏、睡眠质量和生活质量。还显著降低了并发症的发生率，提高了患者满意度，值得临床应用。
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