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基于QFD构建乳腺癌术后化疗患者体重管理模式

Construction of Weight Management Mode for Breast Cancer Patients Undergoing Postoperative Chemotherapy Based on QFD

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目的 构建乳腺癌术后化疗患者体重管理模式,降低超重或肥胖发生率,提高患者自我管理能力.方法 从乳腺癌术后化疗患者需求出发,运用 KJ 法、Kano模型、质量屋等工具,结合 TRIZ理论及 FMEA方法构建乳腺癌术后化疗患者体重管理模式,包括联动整合体重管理资源、精准制订体重管理方案、全面落实"1+1+N"体重管理方案、搭建体重管理智能随访平台等.结果 患者自我管理能力得分提高至 170.67 分,体重管理依从率提高至90.00%,甘油三酯水平降低至 1.25 mmol/L,体脂率降低至 28.67%,超重或肥胖发生率降低至 16.67%,生活质量得分提高至 112.03 分.结论 将质量功能展开(QFD)与品管圈结合可有效识别乳腺癌术后化疗患者需求,降低超重或肥胖发生率,提高患者自我管理能力及生活质量.
Objective To construct the weight management mode of postoperative chemotherapy patients with breast cancer,reduce the incidence of overweight/obesity,and improve the self-management ability of patients.Methods According to the needs of breast cancer patients undergoing postoperative chemotherapy,using KJ method,Kano model,house of quality and other tools,combined with TRIZ theory and FMEA,a weight management mode for postoperative breast cancer patients was designed,including linkage integration of weight management resources,accurate formulation of weight management programs,full implementation of"1+1+N"weight management measures,and building an intelli-gent weight management follow-up platform.Results Patients'self-management ability score increased to 170.67 points,weight management compliance rate increased to 90.00%,triglyceride level decreased to 1.25 mmol/L,body fat rate decreased to 28.67%,overweight/obesity incidence decreased to 16.67%,and quality of life score increased to 112.03 points.Conclusion The combination of QFD and quality control circle can effectively identify the needs of postoperative chemotherapy patients with breast cancer,reduce the incidence of overweight/obesity,and improve patients'self-man-agement ability and quality of life.

Quality Function Deployment(QFD)Quality Control CircleInnovative Quality Control CircleBreast CancerPostoperative ChemotherapyWeight Management

徐芸、胡少华、张海燕、任春霞、张秀梅、张伟、裴静、梁琳

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安徽医科大学第一附属医院 安徽 合肥 230022

质量功能展开 品管圈 创新型品管圈 乳腺癌 术后化疗 体重管理

安徽省自然科学基金面上项目

2008085MH295

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(6)