Application effect of PDCA-based nursing management in patients with stem cell transplantation complicated by oral mucositis
10.3760/cma.j.cn115682-20190911-03297
- VernacularTitle:基于PDCA的护理管理在干细胞移植患者并发口腔黏膜炎中的应用效果
- Author:
Chan LI
1
;
Chong WANG
;
Changfeng LIU
;
Na ZHANG
;
Juan DING
Author Information
1. 郑州大学第一附属医院造血干细胞移植中心，郑州 450052
- Keywords:
Hematopoietic stem cell transplantation;
Oral mucositis;
PDCA
- From:
Chinese Journal of Modern Nursing
2020;26(11):1486-1490
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore application effects of PDCA-based nursing management in patients with hematopoietic stem cell transplantation complicated by oral mucositis.Methods:By the convenience sampling method, 120 patients who underwent hematopoietic stem cell transplantation in the First Affiliated Hospital of Zhengzhou University from January 2016 to January 2017 were selected. According to the random number table method, they were divided into the control group and the observation group, with 60 cases in each group. The control group was given traditional nursing management while the observation group was given PDCA-based nursing management on basis of the control group. The occurrence of oral mucositis, the time of complete healing of oral mucositis, the disappearance time of pain due to oral mucositis and satisfaction with nursing service were compared between the two groups.Results:After the intervention, the incidence of mucositis of grade Ⅰ to Ⅳ in the observation group was lower than that in the control group, and the difference was statistically significant ( P<0.05) . The time of complete healing of patients with grade Ⅰ to Ⅳ mucositis in the observation group was shorter than that in the control group, and the difference was statistically significant ( P<0.05) . The disappearance time of pain of patients with grade Ⅰ to Ⅳ mucositis in the observation group was shorter than that in the control group, and the difference was statistically significant ( P<0.05) . The satisfaction rate of nursing service in the observation group was 76.67% (46/60) , higher than 53.33% (32/60) in the control group, and the difference was statistically significant ( P<0.05) . Conclusions:PDCA-based nursing management can effectively reduce the incidence of oral mucositis in patients with hematopoietic stem cell transplantation, promote the healing of oral mucositis, relieve patients' pain and improve nursing satisfaction.
