2019 年第 2 期 第 14 卷

PDCA模式应用于奥氮平治疗含铂化疗中老年肺癌患者对其情感状况和自我效能的影响

Effect of PDCA model on emotional status and self-efficacy in middle-aged and old lung cancer patients treated with platinum-based chemotherapy and olanzapine

作者：俞智敏叶小红王文娴宋正波张沂平陆方晓张有为

英文作者：

单位：310022杭州，浙江省肿瘤医院胸部肿瘤内科（俞智敏、叶小红、王文娴、宋正波、张沂平、陆方晓）；221009江苏省徐州市中心医院肿瘤内科（张有为）

英文单位：

关键词：肺癌；PDCA模式；奥氮平；含铂化疗

英文关键词：

• 摘要：

• 【摘要】目的    探讨PDCA模式应用于接受奥氮平治疗的含铂化疗中老年肺癌患者对其情感状况和自我效能的影响。方法    选取2016年1月至2018年6月就诊于浙江省肿瘤医院的80例接受奥氮平治疗的含铂化疗肺癌患者，年龄均超过55周岁，以随机数字表法分为对照组和观察组，每组40例。对照组患者实施常规干预；观察组则在常规干预举措中引入PDCA管理模式，涉及计划（P）、实施（D）、检查（C）和处理（A）多个环节。对2组患者在干预前后的焦虑和抑郁情绪、自我效能水平、并发症发生情况、工作满意度进行评价。结果    干预后，观察组焦虑自评量表和抑郁自评量表评分明显低于对照组［（51±3）分比（59±4）分、（52±3）分比（59±4）分］，一般自我效能感量表评分明显高于对照组［（37±4）分比（27±4）分］，并发症发生率明显低于对照组［7.5%（3/40）比32.5%（11/40）］，满意度评分明显高于对照组［（97.6±4.1）分比（89.5±3.2）分］，差异均有统计学意义（均P＜0.05）。结论    对于行奥氮平治疗的含铂化疗肺癌患者，引入PDCA模式能使患者保持情感稳定，且能强化机体的自我效能。

• 【Abstract】Objective    To analyze the effect of PDCA model on emotional status and self-efficacy in middle-aged and old lung cancer patients treated with platinum-based chemotherapy and olanzapine. Methods    Eighty patients over 55 years old with lung cancer who were treated with platinum-based chemotherapy plus olanzapine in Zhejiang Cancer Hospital from January 2016 to June 2018 were randomly divided into control group and observation group, with 40 cases in each group. The control group received conventional nursing; the observation group received multi-link PDCA intervention(Plan-Do-Check-Act) on the basis of conventional treatment. Anxiety and depression, self-efficacy, complications and satisfaction of patients were analyzed. Results    After intervention, scores of Self-rating Anxiety Scale and Self-rating Depression Scale in observation group were significantly lower than those in control group［（51±3） vs （59±4）, （52±3） vs （59±4）］; score of General Self-Efficacy Scale in observation group was significantly higher than that in control group［（37±4） vs （27±4）］; incidence of complications in observation group was significantly lower than that in control group［7.5%（3/40） vs 32.5%（11/40）］; satisfaction score of patients in observation group was significantly higher than that in control group［（97.6±4.1） vs （89.5±3.2）］（all P＜0.05）. Conclusion    PDCA model-based nursing intervention during platinum-based chemotherapy plus olanzapine for lung cancer can relive the symptoms of depression and anxiety and improve the self-efficacy of patients.