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| 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 |
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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.
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[1] Bala S，Gundeti S，Linga VG，et al. Clinicopathological features and outcomes in advanced nonsmall cell lung cancer with tailored therapy [J]. Indian J Med Paediatr Oncol，2016， 37（4）：242-250.
[2] 张苏梅，李小妹，高苗，等.肺癌患者焦虑抑郁与自我效能感的相关性研究[J].现代肿瘤医学，2015，23（9）：1221-1223.
[3] 卢萍，张萍.强化护理干预对老年肺癌患者化疗期继发感染的影响[J].中国实用护理杂志，2013，29（18）：48-49.
[4] 徐云岚，乔丽敏，张卫东，等.PDCA循环管理在鞘内药物输注术护理中的应用[J].实用临床医药杂志，2014，18（6）：70-71，74.
[5] 王才康，胡中锋，刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学，2001，7（1）：37-40.
[6] Shi Y，Sun Y，Yu J，et al. China experts consensus on the diagnosis and treatment of advanced stage primary lung cancer （2016 version）[J] Asia Pac J Clin Oncol，2017，13（1）：87-103.
[7] 陈阳阳，张洁，徐国宾，等.晚期肺癌患者一线化疗后6种血清肿瘤标志物水平的变化及意义[J].临床检验杂志，2015，33（2）：124-129.
[8] 风举，姜丽真，卢海燕，等.老年肺癌患者化疗期间并发感染的高危因素[J].中国老年学杂志，2015，（19）：5540-5541.
[9] 谭志红，姜萍岚，高翠玲，等.乳腺癌化疗患者癌因性疲乏与一般自我效能感的相关性研究[J].现代临床护理，2012，11（6）：1-3.
[10] 安采华，杨琴，李莉，等.胃癌术后患者癌因性疲乏与自我效能感的相关性研究[J].现代预防医学，2016，43（13）：2398-2401.
[11] 杨杰，李树霞，邢志军，等.自我效能感在肺癌疼痛患者护理中的应用[J].承德医学院学报，2016，33（3）：220-222.
[12] 张苏梅，顾炜，高苗，等.自我效能感在肺癌化疗患者社会支持与生存质量间的中介效应[J].中国健康心理学杂志，2015，23（9）：1310-1314.
[13] 尚学琴，王继营，段玉印，等.晚期肺癌化疗患者医院感染的危险因素分析[J].中华医院感染学杂志，2015，25（15）：3477-3479.
[14] 王秀波，杨靖.自我行为与饮食护理干预对幽门螺杆菌感染患者自我效能感与预后的影响分析[J].检验医学与临床，2015，（10）：1350-1351.
[15] 卢萍，张萍.强化护理干预对老年肺癌患者化疗期继发感染的影响[J].中国实用护理杂志，2013，29（18）：48-49.
[16] 潘璐意，陈娟.个性化护理对肺癌合并糖尿病并发症的干预[J].中国医药导报，2013，10（1）：139-141.
[17] 李海风，高书萍，王建敏，等.PDCA 循环管理模式在静脉药物配置中心的应用效果观察[J].河北医药，2014， 36（2）：318-319.
[18] 梁步军.PDCA循环管理模式对医疗耗材准入管理质量及效果的影响[J].医疗卫生装备，2016，37（7）：133-135，143.
[19] 尹玲，陈先红，谭丽君，等.PDCA循环管理模式在神经内科优质护理服务中的应用[J].护理实践与研究，2015， 12（8）：122-123.
[20] 雷渊秀.PDCA循环管理模式对妇科不良事件的影响[J].护理实践与研究，2014，11（7）：119-120. |
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