中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (5): 440-443.doi: 10.19438/j.cjoms.2019.05.010

• 论著 • 上一篇    下一篇

PDCA护理模式在口腔恶性肿瘤患者行股前外侧皮瓣修复术围术期护理中的应用

黄嘉妮, 徐诸凤, 郁玺玺, 王悦平   

  1. 上海交通大学医学院附属第九人民医院·口腔医学院 口腔颌面-头颈肿瘤科,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011
  • 收稿日期:2018-11-19 出版日期:2019-09-20 发布日期:2020-03-11
  • 通讯作者: 王悦平,Email:18121213995@163.com
  • 作者简介:黄嘉妮(1992-),女,本科,护师,E-mail:454159342@qq.com
  • 基金资助:
    上海交通大学医学院附属第九人民医院护理组基金(JYHL20182116)

Application of PDCA nursing in perioperative care for oral malignant tumor patients with anterolateral thigh flap reconstruction

HUANG Jia-ni, XU Zhu-feng, YU Xi-xi, WANG Yue-ping   

  1. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011, China
  • Received:2018-11-19 Online:2019-09-20 Published:2020-03-11

摘要: 目的:探讨PDCA护理模式在口腔恶性肿瘤患者行股前外侧皮瓣修复术围术期护理中的应用效果。方法:纳入2017年2月—2018年2月于我院口腔颌面-头颈肿瘤科接受股前外侧皮瓣修复术的口腔恶性肿瘤患者,采用随机抽签法分为PDCA护理组和常规护理组,分别采集2组患者的皮瓣并发症发生率、健康教育知晓率和满意度,采用SPSS 18.0软件包进行统计学分析。结果:最终纳入患者60例,PDCA护理组和常规护理组各30例。相比于常规护理组,PDCA护理组患者的皮瓣并发症发生率更低,健康教育知晓率和满意度更高(P<0.05)。结论:PDCA护理模式在口腔恶性肿瘤患者股前外侧皮瓣修复术围术期护理中可有效降低术后皮瓣并发症发生率,提高患者的健康教育知晓率及对护理的满意度,值得在临床护理工作中推广运用。

关键词: PDCA护理模式, 口腔恶性肿瘤, 股前外侧皮瓣修复术

Abstract: PURPOSE: To analyze the effect of PDCA nursing model in perioperative care for oral malignant tumor patients with anterolateral thigh flap reconstruction. METHODS: Oral malignant tumor patients received anterolateral thigh flap reconstruction in the Department of Oromaxillofacial Head and Neck Oncology of our hospital from 2017.02 to 2018.02 were included. The patients were randomly separated into two groups: PDCA nursing group and conventional nursing group. Incidence of complications, awareness of health education and satisfaction of patients were collected from both groups. SPSS 18.0 software package was used for statistical analysis. RESULTS: Sixty patients were finally selected: thirty in each group. Patients in PDCA group had significantly lower incidence of complications and better awareness of health education and satisfaction (P<0.05) compared with conventional nursing group. CONCLUSIONS: PDCA nursing model can improve the awareness of health education and nursing satisfaction and reduce the incidence of complications.

Key words: PDCA nursing mode, Oral malignant tumors, Anterolateral thigh flap

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