CAJ | 학술논문

目的：探讨PDCA循环式管理模式在癌痛患者健康教育中的应用效果。方法选取在我院肿瘤内科住院治疗的癌痛患者168例，其中2011年3月至2012年3月83例作为对照组，2012年4月至2013年4月85例作为观察组，对照组采用传统的护理管理模式,观察组采用PDCA循环式健康教育模式,即包括计划(P)、执行(D)、检查(C)、处理(A)等阶段。结果两组患者出院时服药依从性观察组(95.29%)明显高于对照组(74.70%),比较差异有统计学意义(P<0.01)；健康教育内容知晓情况比较：了解镇痛药使用途径及熟悉镇痛药不良反应这两方面，两组比较无统计学意义(P>0.05)；对疼痛原因、正确进行疼痛评分、了解镇痛药如何使用、担心镇痛药成瘾等方面两组比较差异有统计学意义(P<0.01)。结论 PDCA循环式健康教育管理模式在临床应用中可行、有效,是提高癌痛规范化治疗示范病房护理质量的科学管理方法。
목적：탐토PDCA순배식관리모식재암통환자건강교육중적응용효과。방법선취재아원종류내과주원치료적암통환자168례，기중2011년3월지2012년3월83례작위대조조，2012년4월지2013년4월85례작위관찰조，대조조채용전통적호리관리모식,관찰조채용PDCA순배식건강교육모식,즉포괄계화(P)、집행(D)、검사(C)、처리(A)등계단。결과량조환자출원시복약의종성관찰조(95.29%)명현고우대조조(74.70%),비교차이유통계학의의(P<0.01)；건강교육내용지효정황비교：료해진통약사용도경급숙실진통약불량반응저량방면，량조비교무통계학의의(P>0.05)；대동통원인、정학진행동통평분、료해진통약여하사용、담심진통약성은등방면량조비교차이유통계학의의(P<0.01)。결론 PDCA순배식건강교육관리모식재림상응용중가행、유효,시제고암통규범화치료시범병방호리질량적과학관리방법。
ObjectiveTo explore the application effect of PDCA cycle management model in health education for cancer patients with pain.Methods 168 patients, taking medical oncology hospital treatment, were selected as the sample and divided into control group(83 cases from March 2011 to March 2012) and observation group(85 cases from April 2012 to April 2013).The control group were treated with the traditional nursing management, while the observation group adopted the mode of health education using the PDCA cycle, including plans (P) and (d), (c), (a).Results The medication compliance of observation group (95.29%) was significantly higher than the control group (74.70%) , which difference was statistically significant (P<0.01); as for the awareness of the health education: to understand the use of analgesic drugs and the adverse reactions of the two groups, withoutstatistically significance (P>0.05); to compare the pain causes, pain scores, understanding of the use of analgesics, anxiety and other aspects of drug addiction. Conclusion The PDCA cycle health education management mode in clinical application is feasible and effective, as a scientific management method in improving the quality of cancer pain nursing.