Study on the application effect of integrated medical and patient care combined with PDCA management model in the care of patients with prophylactic ileostomy for rectal cancer
Study on the application effect of integrated medical and patient care combined with PDCA management model in the care of patients with prophylactic ileostomy for rectal cancer
Objective To explore the application effect of the integrated of medical care and patient care combined with the plan-do-check-act(PDCA)management model in the care of patients with prophylactic ileostomy for rectal cancer,and to explore its impact on the quality of medical care and patients'quality of life.Methods According to the inclusion and exclusion criteria,the clinical data and related follow-up information of 200 patients who underwent laparoscopic radical rectal cancer surgery with simultaneous prophylactic ileostomy for rectal cancer from January 2019 to December 2022 in the Department of Colorectal and Anal Surgery of the People's Hospital of Weifang were selected.Starting from January 1 2021,the integrated of medical care and patient management model will be implemented,and the PDCA management model will be added to the management process for continuous improvement.Patients with stoma management using the integrated of medical care and patient management model combined with the PDCA management model were taken as the experimental group,and patients with traditional nursing care model were taken as the control group.The two groups were evaluated in terms of stoma complication rate,stoma quality of life score and satisfaction with medical care.Results The incidence of stoma complications in the experimental group was significantly lower than that in the control group(P＜0.05),and at 3 months postoperatively,the quality of life of patients in the experimental group was better than that in the control group in terms of total score,work or social function dimensions,stoma function dimen-sions,and skin irritation,with the difference being statistically significant(P＜0.05).The patients'satisfaction with medi-cal care in the experimental group was higher than that in the control group,and the difference was statistically significant(P＜0.05).Conclusion The integrated of medical care and patient care combined PDCA management model can re-duce the incidence of stoma complications,improve the quality of life of enterostomal patients,and at the same time,im-prove patient satisfaction with healthcare and improve the quality of medical care.
关键词
医护患一体化/回肠造口/生活质量/策划-实施-检查-措施/造口并发症
Key words
Medical care patient integration/Ileostomy/quality of life/Plan-do-check-act/Stoma complica-tions
维普
万方数据