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[摘要]
目的 探讨计划实施检查改进(PDCA)循环管理模式对乳腺良性肿瘤切除患者心理状态及护理满意度的影响。方法 选取2019年1月~2020年12月我院良性肿瘤患者145例,按照随机数字表法分为对照组(n=72例)和研究组(n=73例)。其中对照组采用常规护理,研究组在对照组的基础上实施PDCA循环管理模式,记录并对比分析两组的焦虑自评量表(SAS)得分、抑郁自评量表(SDS)得分、癌症患者生命质量核心量表(FACT-G)得分以及护理满意度。结果 两组护理前SAS、SDS得分差异无统计学意义(P>0.05);两组护理后SAS、SDS评分均低于护理前,且研究组低于对照组(P<0.05);两组护理前FACT-G得分比较差异无统计学意义(P>0.05),护理后的FACT-G得分均高于护理前,且研究组高于对照组(P<0.05);研究组的护理总满意度为93.15%高于对照组的81.94%(P<0.05)。结论 PDCA循环管理模式应用于乳腺良性肿瘤切除患者,不仅可缓解患者的焦虑、抑郁情绪,还可以提高其生活质量和护理满意度,值得临床推广应用。
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[Abstract]
Objective To explore the impact of the planned implementation of inspection improvement (PDCA) cycle management model on the psychological status and nursing satisfaction of patients with benign breast tumors removed. Methods A total of one hundred and forty-five patients with benign tumors in our hospital from January 2019 to December 2020 were selected and divided into a control group (n=seventy-two cases) and a study group (n=seventy-three cases) according to the random number table method. The control group adopts routine care, and the study group implements the PDCA cycle management model on the basis of the control group. Records and compares and analyzes the scores of the Self-Rating Anxiety Scale (SAS), the Self-Rating Depression Scale (SDS), and cancer patients of the two groups. FACT-G scores and nursing satisfaction. Results The scores of SAS and SDS before nursing between the two groups were not statistically significant (P>0.05). The scores of SAS and SDS after nursing in the two groups were lower than those before nursing, and the study group was lower than the control group (P<0.05). There was no statistically significant difference in the FACT-G scores before (P>0.05). The FACT-G scores after nursing were higher than those before nursing, and the study group was higher than the control group (P<0.05). The total nursing satisfaction of the study group It was 93.15% higher than 81.94% in the control group (P<0.05). Conclusion The application of PDCA cycle management model to patients with benign breast tumors can not only relieve the patients" anxiety and depression, but also improve their quality of life and nursing satisfaction. It is worthy of clinical application.
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