探讨持续质量改进在腹腔镜结直肠癌术后康复中应用.docVIP

探讨持续质量改进在腹腔镜结直肠癌术后康复中应用 　　【摘要】 目的：探讨持续质量改进在腹腔镜结直肠癌术后康复中的应用效果。方法：选取本院收治的86例行腹腔镜手术的结直肠癌患者为研究对象，随机将其分为试验组和对照组，每组各43例患者。对照组给予常规护理，试验组给予持续质量改进，干预1、2周后测评患者的住院满意度和并发症的发生情况。结果：试验组患者发生出血、感染、吻合口瘘、造口缺血或坏死、皮炎并发症的频数和百分比均低于对照组，除吻合口瘘外，差异均有统计学意义（P0.05）；干预1周后试验组和对照组患者的住院满意度分别为81.4%、62.8%，两组比较差异有统计学意义（P0.05）；干预2周后试验组和对照组患者的住院满意度分别为88.4%、58.1%，两组比较差异有统计学意义（P0.05）。结论：持续质量改进可以降低行腹腔镜手术结直肠癌患者的并发症，提高其住院满意度，说明持续质量改进是一种科学合理的护理管理方法，可以在临床上加以推广应用。 　　【关键词】 持续质量改进； 结直肠癌； 并发症； 住院满意度； 护理 　　【Abstract】 Objective：To investigate the effect of the continuous quality improvement（CQI） in the recovery of the laparoscopic surgery for colorectal cancer. Method：86 hospitalized patients with colorectal cancer who received laparoscopic surgery were investigated. They were randomly divided into experimental group and control group，43 cases in each group. The experimental group were treated with conventional nursing care， the control group were treated with CQI. The patients satisfaction and complications between the two groups at the end of the first week and the second week were compared.Result：The incidence of bleeding，infection，anastomotic fistula，colostomy ischemia or necrosis， and dermatitis in the experimental group was significantly lower than those of the control group，the differences were statistically significant（P0.05）.The patients’ satisfaction in the experimental group and in the control group was respectively 81.4%，62.8% at the end of the first week， the difference was statistically significant（P0.05）.The patients’ satisfaction in the experimental group and in the control group was respectively 88.4%，58.1% at the end of the second week， the difference was statistically significant（P0.05）.Conclusion：CQI can reduce the incidence of complications in patients with colorectal cancer who received laparoscopic surgery， enhance the level of their satisfaction， which indicate CQI is a scientific and reasonable method of nursing management. It is worthy of being widely popularized in clinical application