基于PDCA的护理管理在干细胞移植患者并发口腔黏膜炎中的应用效果

目的探讨基于PDCA的护理管理在造血干细胞移植患者并发口腔黏膜炎中的应用效果。方法采用便利抽样法,选取2016年1月—2017年1月在郑州大学第一附属医院行造血干细胞移植的患者120例,采取随机数字表法分为对照组和观察组,每组60例。对照组采用传统的护理管理模式,观察组在对照组的基础上,采用基于PDCA的护理管理模式。比较两组患者口腔黏膜炎发生情况、口腔黏膜炎完全愈合的时间、因口腔黏膜炎所产生的疼痛消失时间、对护理服务满意情况。结果干预后观察组患者Ⅰ~Ⅳ级黏膜炎发生率较对照组降低,差异有统计学意义(P<0.05);观察组患者Ⅰ~Ⅳ级黏膜炎的完全愈合时间均短于对照组,差异有统计学意义(P<0.05);观察组患者Ⅰ~Ⅳ级黏膜炎的疼痛完全消失时间短于对照组,差异有统计学意义(P<0.05);观察组对护理服务的满意率为76.67%(46/60),高于对照组的53.33%(32/60),差异有统计学意义(P<0.05)。结论基于PDCA的护理管理模式能够降低造血干细胞移植患者口腔黏膜炎发生率,促进口腔黏膜炎愈合,缓解患者疼痛,提高护理满意度。

Application effect of PDCA-based nursing management in patients with stem cell transplantation complicated by oral mucositis

Objective To explore application effects of PDCA-based nursing management in patients with hematopoietic stem cell transplantation complicated by oral mucositis.Methods By the convenience sampling method,120 patients who underwent hematopoietic stem cell transplantation in the First Affiliated Hospital of Zhengzhou University from January 2016 to January 2017 were selected.According to the random number table method,they were divided into the control group and the observation group,with 60 cases in each group.The control group was given traditional nursing management while the observation group was given PDCA-based nursing management on basis of the control group.The occurrence of oral mucositis,the time of complete healing of oral mucositis,the disappearance time of pain due to oral mucositis and satisfaction with nursing service were compared between the two groups.Results After the intervention,the incidence of mucositis of grade Ⅰ to Ⅳ in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The time of complete healing of patients with grade Ⅰ to Ⅳ mucositis in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The disappearance time of pain of patients with grade Ⅰ to Ⅳ mucositis in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The satisfaction rate of nursing service in the observation group was 76.67%(46/60),higher than 53.33%(32/60)in the control group,and the difference was statistically significant(P<0.05).Conclusions PDCA-based nursing management can effectively reduce the incidence of oral mucositis in patients with hematopoietic stem cell transplantation,promote the healing of oral mucositis,relieve patients'pain and improve nursing satisfaction.