首页|基于品管圈模式的综合干预在腹腔镜肺癌根治术患者中的应用

基于品管圈模式的综合干预在腹腔镜肺癌根治术患者中的应用

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目的 探讨基于品管圈模式的综合干预在腹腔镜肺癌根治术患者中的应用效果.方法 将151例接受腹腔镜肺癌根治术的肺癌患者按照干预方式的不同分为观察组(n=75,基于品管圈模式的综合干预)和对照组(n=76,常规干预).比较两组患者的临床指标、肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC]、并发症发生情况及满意度.结果 观察组患者手术时间、引流管拔除时间及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01).干预2周后,两组患者FEV1、FVC、FEV1/FVC均高于本组干预前,且观察组患者FEV1、FVC、FEV1/FVC均高于对照组,差异均有统计学意义(P﹤0.05).观察组患者并发症总发生率低于对照组,满意度高于对照组,差异均有统计学意义(P﹤0.05).结论 腹腔镜肺癌根治术患者接受基于品管圈模式的综合干预可改善临床指标,调节肺功能,减少并发症的发生,提高满意度.
Application of comprehensive intervention based on quality control circle model in patients undergoing laparoscopic radical resection of lung cancer
Objective To explore the application effect of comprehensive intervention based on quality control circle model in patients undergoing laparoscopic radical resection of lung cancer.Method A total of 151 patients with lung cancer who underwent laparoscopic radical resection were divided into observation group(n=75,comprehensive interven-tion based on quality control circle model)and control group(n=76,conventional intervention)according to different in-tervention methods.The clinical indicators,pulmonary function indicators[forced vital capacity(FVC),forced expiratory volume in one second(FEV1),FEV1/FVC],incidence of complications and satisfaction of the two groups were compared.Result The operation time,drainage tube removal time and hospital stay in the observation group were significantly shorter than those in the control group,the differences were statistically significant(P<0.01).After 2 weeks of interven-tion,FEV1,FVC and FEV1/FVC in two groups were higher than those before intervention,and FEV1,FVC and FEV1/FVC in observation group were higher than those in control group,the differences were statistically significant(P<0.05).The total incidence of complications of observation group was lower than that of control group,and the satisfaction rate was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion The comprehensive intervention based on the quality control circle model can improve the clinical indicators,regulate lung function,reduce the incidence of complications and improve the satisfaction of patients undergoing laparoscopic radical resection of lung cancer.

lung cancerlaparoscopic radical resection of lung cancerquality control circlelung function

马悦、李帮珍、舒晓、刘军晓

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河南省肿瘤医院/郑州大学附属肿瘤医院麻醉与围术期医学科,郑州 450000

肺癌 腹腔镜肺癌根治术 品管圈 肺功能

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(23)