|
|
Effect of FOCUS-PDCA management mode on postoperative recovery and the occurrence of complications in patients with minimally invasive rotary varicotomy for breast mass |
GAO Shijie1 GUAN Rui2 DONG Nanjun1 XU Dan2 |
1.Department of Surgery, Fushun Central Hospital, Liaoning Province, Fushun 113006, China;
2.Department of Internal Medicine, Fushun Central Hospital, Liaoning Province, Fushun 113006, China |
|
|
Abstract Objective To analyze the influence of FOCUS-PDCA management mode on postoperative recovery and the occurrence of complications in patients with minimally invasive rotary varicotomy for breast mass. Methods One hundred cases of patients with minimally invasive rotary varicotomy for breast mass admitted to Fushun Central Hospital in Liaoning Province from January 2015 to June 2017 were randomly divided into observation group and control group, with 50 cases in each group. The control group received routine nursing management mode, the observation group received the FOCUS-PDCA management mode. The hospital stay, hospitalized expense, informed conditions of healthy knowledge, satisfaction degree, the qualified rate of implementation of grading nursing and the qualified rate of health education in the two groups were investigated. The swelling degree of patients was investigated before discharge, and the QLQ-C30 scale and symptom checklist were respectively used to evaluate the quality of life and psychological status after discharge for 3 months. Results The hospital stay, total hospitalized expense, and the incidence of complications in the observation group were significantly lower than those of control group, the differences were statistically significant (P < 0.05), and the awareness rate of health knowledge, the qualified rate of implementation of grading nursing, satisfaction degree of patients, the qualified rate of health education, the breast swelling degree, the scores of quality of life and psychological status in the observation group were all significantly better than those of control group, the differences were statistically significant (P < 0.05). Conclusion FOCUS-PDCA management mode can effectively improve the postoperative recovery treatment conditions of patients with minimally invasive rotary varicotomy for breast mass and reduce the incidence of postoperative complications.
|
|
|
|
|
[1] 金哲敏,沈方敏.微创旋切术与传统手术治疗乳腺良性肿块疗效、疼痛及患者预后的比较研究[J].中国现代医学杂志,2015,25(18):81-84.
[2] 李剑,赵二保,田园.保乳手术治疗早期乳腺癌的疗效观察[J].中国药物与临床,2015,15(9):1289-1290.
[3] 陈佳佳,梅松莉,蒋红英,等.PDCA循环管理法在康复专科护士教学质量管理中的应用[J].中国康复理论与实践,2016,22(10):1232-1235.
[4] 李贤勇,黄胜超,陈小东,等.麦默通微创旋切手术治疗乳腺肿物的临床应用[J].海南医学,2015,26(19):2854-2856.
[5] 蔡丽,张研,申芳,等.PDCA循环法在乳腺癌术后化疗患者PICC质量管理中的应用效果[J].中华现代护理杂志,2015,21(33):4058-4060.
[6] 徐长龙,郭晓敏,张连杰,等.FOCUS-PDCA程序在护理管理中的应用现状[J].护理研究,2017,31(1):15-17.
[7] 熊娟,李婷.医院质量管理中PDCA循环的应用[J].中国现代医生,2017,55(3):140-142.
[8] 程秀梅,王维利,谢伦芳.PDCA循环在初发脑梗死患者出院后行为管理中的应用效果[J].中国实用护理杂志,2017,33(10):739-743.
[9] 谭诗生,李杭,罗健,等.欧洲癌症研究与治疗组织研制的生活质量核心调查问卷第3版中文版生活质量调查问卷测评[J].中国组织工程研究,2006,10(4):23-27.
[10] 曹璇,陈永军,高睿,等.强迫症状自评量表信效度研究进展[J].精神医学杂志,2016,29(5):397-400.
[11] 陈伟菊,林清然,翟萃球.延续护理实践模式探索与对未来发展趋势的思考[J].中国护理管理,2017,17(4):444-448.
[12] 邓娟,范玲.护理质量管理信息化研究进展[J].护理学杂志,2015,30(5):102-106.
[13] 林力生,李双齐,吴丽婷.微创旋切术治疗乳腺良性肿瘤患者的疗效及安全性分析[J].实用癌症杂志,2017, 32(1):140-142.
[14] 周丹,叶国麟,潘瑞琳,等.超声引导下麦默通旋切系统诊断不可触及乳腺病灶的临床研究[J].哈尔滨医科大学学报,2015,49(3):243-247.
[15] 徐林梧,王晓霞,司徒小新.乳腺微创旋切系统治疗多发乳腺小结节的效果及优势分析[J].中国普通外科杂志,2016,25(5):776-779.
[16] 金哲敏,沈方敏.微创旋切术与传统手术治疗乳腺良性肿块疗效、疼痛及患者预后的比较研究[J].中国现代医学杂志,2015,25(18):81-84.
[17] 付馨,陈长征.基于PDCA理论的手术室护士学习系统设计研究[J].医疗卫生装备,2015,36(5):66-69.
[18] 潘高峰,刘维燕,潘智裕,等.乳腺良性疾病麦默通微创旋切手术效果观察及特点分析[J].中国综合临床,2016, 32(2):149-153.
[19] 宋凯飞,王小飞,徐宇红.FOCUS-PDCA模式在人工气道病人声门下吸引护理中的应用[J].护理研究,2017, 31(19):2430-2432.
[20] 孙林,张玲.基于FOCUS-PDCA程序的优质护理对重型颅脑损伤患者院内感染的影响[J].河北医药,2017, 39(4):622-625.
[21] 王先利,庞艳玉,孙慧,等.PDCA循环管理方法在妇产科医院临床药学服务中的应用[J].中国药房,2016,27(1):134-137. |
|
|
|