[1]张禹璐.PDCA循环模式联合细节护理在腹腔镜下子宫肌瘤切除术中的应用效果及其对护理满意度的影响[J].医学信息,2024,37(12):152-155.[doi:10.3969/j.issn.1006-1959.2024.12.035]
 ZHANG Yu-lu.Application Effect of PDCA Circulation Mode Combined with Detailed Nursing in Laparoscopic Myomectomy and its Influence on Nursing Satisfaction[J].Journal of Medical Information,2024,37(12):152-155.[doi:10.3969/j.issn.1006-1959.2024.12.035]
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PDCA循环模式联合细节护理在腹腔镜下子宫肌瘤切除术中的应用效果及其对护理满意度的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年12期
页码:
152-155
栏目:
护理研究
出版日期:
2024-06-15

文章信息/Info

Title:
Application Effect of PDCA Circulation Mode Combined with Detailed Nursing in Laparoscopic Myomectomy and its Influence on Nursing Satisfaction
文章编号:
1006-1959(2024)11-0152-04
作者:
张禹璐
(上饶市广信区第五人民医院妇产科,江西 上饶 334100)
Author(s):
ZHANG Yu-lu
(Department of Obstetrics and Gynecology,the Fifth People’s Hospital of Guangxin District,Shangrao 334100,Jiangxi,China)
关键词:
腔镜下子宫肌瘤切除术PDCA循环模式细节护理负性情绪护理满意度
Keywords:
Laparoscopic myomectomyPDCA cycle modelDetailed nursingNegative emotionsNursing satisfaction
分类号:
R473.73
DOI:
10.3969/j.issn.1006-1959.2024.12.035
文献标志码:
A
摘要:
目的 研究PDCA循环模式联合细节护理在腹腔镜下子宫肌瘤切除术(LM)中的应用效果及护理满意度的影响。方法 以2019年6月-2021年12月上饶市广信区第五人民医院行LM治疗的60例患者为研究对象,依据随机数字表法分为对照组(30例)与观察组(30例)。对照组给予PDCA循环模式护理,观察组应用PDCA循环模式联合细节护理,比较两组术后恢复时间(术后肠鸣音恢复时间、术后首次下床时间、术后首次排便时间、术后住院时间)、负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、术后并发症、护理满意度。结果 观察组术后肠鸣音恢复时间、术后首次下床时间、术后首次排便时间、术后住院时间均短于对照组(P<0.05);两组护理后SDS、SAS分数均低于护理前,且观察组SDS、SAS分数低于对照组(P<0.05);观察组术后并发症发生率小于对照组,护理满意度高于对照组(P<0.05)。结论 PDCA循环模式联合细节护理可缩短LM术后恢复时间,改善患者负性情绪,降低术后并发症风险,提高患者满意度。
Abstract:
Objective To study the application effect of PDCA cycle mode combined with detailed nursing in laparoscopic myomectomy (LM) and its influence on nursing satisfaction.Methods From June 2019 to December 2021, 60 patients who underwent LM treatment in the Fifth People’s Hospital of Guangxin District, Shangrao City were divided into control group (30 patients) and observation group (30 patients) according to the random number table method. The control group was given PDCA cycle model nursing, and the observation group was given PDCA cycle model combined with detailed nursing. The postoperative recovery time (postoperative bowel sound recovery time, postoperative first time to get out of bed, postoperative first defecation time, postoperative hospitalization time), negative emotions [Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS)], postoperative complications, nursing satisfaction were compared between the two groups.Results The recovery time of postoperative bowel sounds, the first time of getting out of bed after operation, the first time of defecation after operation and the time of hospitalization after operation in the observation group were shorter than those in the control group (P<0.05). After nursing, the scores of SDS and SAS in the two groups were lower than those before nursing, and the scores of SDS and SAS in the observation group were lower than those in the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, and the nursing satisfaction was higher than that in the control group (P<0.05).Conclusion PDCA cycle mode combined with detailed nursing can shorten the recovery time of patients after LM, improve their negative emotions, reduce the risk of postoperative complications and improve the nursing satisfaction.

参考文献/References:

[1]王星,潘琴芬,潘磊.手术室路径化护理对腹腔镜下子宫肌瘤切除术患者舒适度与应激反应的影响[J].护理实践与研究,2022,19(10):1549-1553.[2]Bean EM,Cutner A,Holland T,et al.Laparoscopic Myomectomy: A Single-center Retrospective Review of 514 Patients[J].J Minim Invasive Gynecol,2017,24(3):485-493.[3]石晓玲,严文萍,徐萌,等.加速康复外科护理在腹腔镜下子宫肌瘤切除术中的应用效果[J].中国肿瘤临床与康复,2022,29(1):114-117.[4]郝阳.腹腔镜子宫肌瘤剔除术联合临床护理路径对患者内分泌及白细胞介素-1β肿瘤坏死因子-α的影响[J].山西医药杂志,2021,50(6):1029-1032.[5]林珮,姜辉,郑朱丹.PDCA循环管理模式联合细节护理提高手术室安全管理及护理质量的效果[J].中华现代护理杂志,2019(11):1429-1431.[6]杨兰,施丽,王颖,等.PDCA循环结合细节护理提高门诊手术室安全管理质量的效果[J].中华现代护理杂志,2021,27(2):272-275.[7]叶雪娟,刘雪霞.PDCA循环管理模式联合细节护理提高手术室安全管理及护理质量的效果[J].黑龙江医学,2021,45(2):165-166.[8]居红英,夏微,杨玉莹,等.标准化交互式视频宣教模式在妇科腹腔镜辅助下子宫肌瘤切除术病人中的应用[J].全科护理,2020,18(25):3313-3315.[9]Vargas MV,Moawad GN,Sievers C,et al.Feasibility, Safety, and Prediction of Complications for Minimally Invasive Myomectomy in Women With Large and Numerous Myomata[J].J Minim Invasive Gynecol,2017,24(2):315-322.[10]张婷,郝晶,王敏蓉,等.PDCA循环联合细节护理在手术室医院感染控制中的应用效果[J].检验医学与临床,2018,15(10):1502-1505.[11]汪君芬,夏群伟,陈玉飞,等.阶段性管理干预对行腹腔镜子宫肌瘤切除术患者的影响[J].护士进修杂志,2018,33(11):1021-1024.[12]买茹.舒适护理对腹腔镜子宫肌瘤切除患者术后疼痛及生活质量的影响[J].新乡医学院学报,2018,35(9):824-826.[13]Strong SM,Sideris M,Magama Z,et al.Surgical Intervention for Uterine Fibroids. Our 4-Year Experience and Literature Review: Is It Time to Centralise Care Provision Via Specialist Fibroid Centres?[J].In Vivo,2020,34(2):695-701.[14]唐婉,郭宪民,牛亮,等.快速康复外科理念应用于腹腔镜子宫肌瘤切除患者围手术期护理中的临床效果[J].贵州医药,2018,42(1):122-123.[15]乔秀珍.精细化护理干预在妇科腹腔镜手术患者围手术期中的应用效果分析[J].中国药物与临床,2019,19(19):3447-3449.[16]江艳珠,吕春香,魏敏,等.舒适护理对腹腔镜子宫肌瘤切除患者术后疼痛及生活质量的影响[J].长春中医药大学学报,2021,37(1):157-159.[17]张美玲,蒋英,盖文菊.细节护理在老年胸腰椎骨折患者椎体成形术术前访视中的应用[J].国际护理学杂志,2020,39(20):3790-3792.[18]张静霞.舒适护理在腹腔镜子宫肌瘤切除术患者中的应用效果[J].中国医药导报,2017,14(26):138-141.[19]杨娟,韩均红,朱晓丹,等.PDCA循环模式联合细节护理在腹腔镜下子宫肌瘤切除术患者中的应用[J].齐鲁护理杂志,2021,27(20):62-64.[20]Budak H,Buday R,Budak MS,et al.Pre- and Postoperative Evaluation of Operated Myoma Uteri Patients: a 5-Year Tertiary Care Experience[J].Aegean Journal of Obstetrics and Gynecology,2019,1(1):8-12.

更新日期/Last Update: 1900-01-01