Subjects: Nursing >> Nursing submitted time 2022-11-06
Abstract： Objective To evaluate the application of Plan-Do-Check-Action cycle(PDCA) model in management of breast cancer patients undergoing peripherally inserted central catheter (PICC)placement. Methods According to sequence of hospital admissions, totally 100 breast cancer patients undergoing PICC placement were divided into the control group and observation group, with 50 patients in each group. Routine PICC maintenance was carried out in the control group during the treatment, and PDCA cycle model was used in management of PICC placement in the observation group. The incidence of complications, treatment compliance and patient satisfaction were compared between two groups. Results The incidence rates of puncture-site infection, catheter blockage and fever induced by catheter-related infection in the observation group than those in the control group, and a significant difference was found in catheter blockage rate between two groups （P＜0.05）. Patients in the observation group had a better outcome of treatment compliance and satisfaction assessment than those in the control group （P＜0.05）. Conclusion The PDCA cycle mode in an effective tool in quality improvement of PICC maintenance for breast cancer patients. It is able to reduce the incidence of complications and improve the treatment compliance and satisfaction of patients.
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Subjects: Nursing >> Nursing submitted time 2022-09-06
Abstract：
Objective To investigate the effect of Traditional Chinese Medicine (TCM) nursing technology in prevention and treatment of chemotherapy-induced nausea and vomiting in patients with breast cancer, and its effect in relief of negative emotion. Methods Totally 80 hospitalized patients with breast cancer were randomly divided into the control group and study group, with 40 cases in each group. All patients received anti-nausea drugs treatment and routine care, and those in the study group were given TCM nursing interventions. The gastrointestinal reactions of patients were recorded during the chemotherapy, and the efficacy of intervention in control of chemotherapy-induced nausea and vomiting was evaluated. The Self-rating Anxiety Scale (SAS) was used to evaluate patient anxiety. Results The effective rate of controlling chemotherapy-induced nausea and vomiting in the study group was higher than that in the control group (P＜0.01). The VAS score dropped in both two groups after intervention, and VAS score in the study group was lower than that in the control group (P＜0.01).Conclusion Based on the anti-nausea drugs treatment and routine care, the TCM nursing is able to further improve the efficiency in control of nausea and vomiting and relief of anxiety in patients undergoing chemotherapy for breast cancer
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