Effects of PDCA cycle nursing management on self-efficiency, secondary infection for elderly patients with advanced lung cancer treated with chemotherapy
HAN Jizhen1 Amina·Quhai2 Ayiguli·Maimaiti3 YU Xiangyou4
1.The First Department of VIP Service, Cancer Hospital Affiliated to Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China; 2.The First Ward of Department of Pulmonary Medicine, Cancer Hospital Affiliated to Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
3.The Second Ward of Department of Pulmonary Medicine, Cancer Hospital Affiliated to Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
4.ICU, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830054, China
Abstract:Objective To observe the effects of PDCA cycle nursing management on self-efficiency, secondary infection and nursing quality in elderly patients with advanced lung cancer treated with chemotherapy. Methods 52 elderly patients with advanced lung cancer who received chemotherapy in the First Department of VIP Service, Cancer Hospital Affiliated to Xinjiang Medical University (“our department” for short) from January 2012 to December 2014 were collected as the control group, and 64 elderly patients with advanced lung cancer who received chemotherapy in our department from January 2015 to December 2016 were collected as the observation group. The control group was given to conventional nursing intervention, while the observation group was given to PDCA cycle nursing management. General Self-efficiency Scale (GSES) and self-made questionnaire were employed to assess self-efficiency and nursing quality respectively. Retrospectively analyzing their clinical materials, self-efficiency, secondary infection and nursing quality were compared between the two groups then. Results After intervention, in comparison with the control group, the GSES score of the observation group was significantly increased and the incidence of secondary infection was significantly decreased (P < 0.05 or P < 0.01). Self-made questionnaire showed that the scores of service attitude, professional skill and health education in the observation group was significantly increased compared with the control group (P < 0.05). Conclusion PDCA cycle nursing management has good application effect in elderly patients with advanced lung cancer treated with chemotherapy. And it can increase self-efficiency, reduce incidence of secondary infection and promote nursing quality.