CAJ | 학술논문

目的：探讨PDCA模式联合ABC管理健康教育对卵巢癌患者化疗依从性和生活质量的影响。方法选取2011年5月—2013年12月化疗治疗的卵巢癌患者124例作为研究对象，按照随机数字表法将患者分为观察组与对照组各62例。对照组进行常规健康教育，观察组采用PDCA模式与ABC管理相结合的方法进行健康教育。比较两组患者的治疗依从性、生活质量及满意度。结果观察组在遵医用药、营养支持、功能锻炼及康复实施维度的依从性均优于对照组，差异有统计学意义（χ2值分别为8．382，7．225，7．314，10．098；P＜0．01）。入院时两组患者生活质量评分差异无统计学意义（ P＞0．05）；治疗1年后观察组患者生活质量评分为（66．75±5．42）分，高于对照组的（49．55±5．17）分，差异有统计学意义（t＝9．251，P＜0．05）。观察组患者对健康教育的满意度总分为（91．35±3．48）分，高于对照组的（63．53±4．12）分，差异有统计学意义（t＝11．521，P＜0．05）。结论采用PDCA模式与ABC管理相结合的方法对卵巢癌化疗患者进行健康教育，可以改善患者的治疗依从性，提高生活质量，同时加强护患间的合作，提高患者对健康教育和治疗的满意度。
목적：탐토PDCA모식연합ABC관리건강교육대란소암환자화료의종성화생활질량적영향。방법선취2011년5월—2013년12월화료치료적란소암환자124례작위연구대상，안조수궤수자표법장환자분위관찰조여대조조각62례。대조조진행상규건강교육，관찰조채용PDCA모식여ABC관리상결합적방법진행건강교육。비교량조환자적치료의종성、생활질량급만의도。결과관찰조재준의용약、영양지지、공능단련급강복실시유도적의종성균우우대조조，차이유통계학의의（χ2치분별위8．382，7．225，7．314，10．098；P＜0．01）。입원시량조환자생활질량평분차이무통계학의의（ P＞0．05）；치료1년후관찰조환자생활질량평분위（66．75±5．42）분，고우대조조적（49．55±5．17）분，차이유통계학의의（t＝9．251，P＜0．05）。관찰조환자대건강교육적만의도총분위（91．35±3．48）분，고우대조조적（63．53±4．12）분，차이유통계학의의（t＝11．521，P＜0．05）。결론채용PDCA모식여ABC관리상결합적방법대란소암화료환자진행건강교육，가이개선환자적치료의종성，제고생활질량，동시가강호환간적합작，제고환자대건강교육화치료적만의도。
Objective To investigate the impaction of health education with PDCA model combined with ABC management on compliance and quality of life in patients with ovarian cancer chemotherapy . Methods Totals of 124 ovarian cancer patients were selected from May 2011 to December 2013 in our hospital . Patients were randomly divided into observation group and control group , with 62 cases in each group .The control group was given general health education , and the observation group was treated by PDCA model combined with ABC management .The compliance , quality of life and treatment satisfaction were compared between the two groups .Results In the observation group , the medication compliance , nutritional support , functional training and rehabilitation of compliance were significantly better than those in the control group (χ2 =8.382, 7.225, 7.314, 10.098, respectively;P<0.01).The difference of quality of life at admission was not significant (P>0.05).After one-year treatment, the score of quality of life was (66.75 ±5.42) in the observation group and (49.55 ±5.17) in the control group.The difference was statistically significant (t=9.251,P<0.05).The satisfaction score in the observation group was (91.35 ±3.48) and (63.53 ±4.12) in the control group.The difference was statistically significant (t=11.521,P<0.05).Conclusions The health education with PDCA model combined with ABC management can improve the quality of life in patients with ovarian cancer .It can also strengthen the cooperation between nurses and patients , so that patients′satisfaction is improved.