Yanbian University, Department of General Surgery Affiliated Hospital of Yanbian, Yanji City, Jilin, China.
Yanbian University, Nursing College, Yanji City, Jilin, China.
Rev Esc Enferm USP. 2021 Jun 23;55:e03729. doi: 10.1590/S1980-220X2020012503729. eCollection 2021.
To investigate the effect of the FOCUS-PDCA procedure on the self-care ability of patients undergoing colostomy for rectal cancer.
A nonrandomized controlled trial of 160 patients with rectal cancer undergoing colostomy. The control group received routine nursing intervention, and the observation group received the FOCUS-PDCA procedure. The self-care ability of the two groups was investigated 1 week and 1 month after surgery, and a comparative analysis was made between the groups.
One week after surgery, the self-care ability of rectal cancer patients with colostomy increased from 39.09 points before implementation of the FOCUS-PDCA procedure to 60.15 points after implementation; an increase of 21.06%. One month after surgery, the self-care ability increased from 61.50 points to 83.13 points after implementation of the FOCUS-PDCA procedure; an increase of 21.63%.
Application of the FOCUS-PDCA procedure improved the self-care ability of rectal cancer patients undergoing colostomy, improved their physical and mental health, reduced colostomy complications, and improved their quality of life. The results suggest that it is worth applying FOCUS-PDCA more widely.
探讨聚焦解决模式（FOCUS-PDCA）程序对直肠癌结肠造口患者自我护理能力的影响。
采用非随机对照试验，纳入 160 例直肠癌结肠造口患者。对照组给予常规护理干预，观察组给予 FOCUS-PDCA 程序。于术后 1 周和 1 个月调查两组患者的自我护理能力，并对两组进行比较分析。
术后 1 周，实施 FOCUS-PDCA 程序后，直肠癌结肠造口患者的自我护理能力从实施前的 39.09 分提高到 60.15 分，提高了 21.06%；术后 1 个月，实施 FOCUS-PDCA 程序后，自我护理能力从 61.50 分提高到 83.13 分，提高了 21.63%。
应用 FOCUS-PDCA 程序可提高直肠癌结肠造口患者的自我护理能力，改善其身心健康，减少造口并发症，提高生活质量。提示 FOCUS-PDCA 程序值得更广泛应用。
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