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| Effec observation of PDCA cycle management model on the improvement of exercise of postoperative affected limb function in the patients with breast cancer |
| CHENG Jian-huan HU Mei-xiao LI Yun-xia ZHONG Bi-hong |
| Department of Breast Surgery,the First People′s Hospital of Huizhou City in Guangdong Province,Huizhou 516000,China |
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Abstract ObjectiveTo observe and analyze the effect of PDCA cycle management mode on the exercise of affected limb function in the patients with breast cancer.Methods150 patients who were admitted in our hospital and underwent postoperative recovery of affected limb function exercise after the radical resection of breast cancer from January 2015 to January 2017 were randomly divided into two groups.Among them,70 patients who were given the nursing by PDCA cycle management mode were assigned to the PDCA group,and 80 patients who were given general nursing management mode were assigned to the control group.The nursing compliance,the height of the finger climbing the wall upon discharge and the length of stay,and the shoulder joint activity after 3 months of discharge were compared between the two groups.ResultsThe total compliance rate(100.00%)in the PDCA group was higher than that of the control group(88.75%)(P＜0.05).The height of finger climbing the wall in the PDCA group was higher than that in the control group,and the length of stay was shorter than that in the control group.The differences were statistically significant(P＜0.05).The shoulder joint activities such as shoulder extension,flexion,upper abduction in the PDCA group were better than those in the control group,and the differences between the two groups were statistically significant(P＜0.05).ConclusionPDCA cycle management mode is applied in the recovery of the exercise of postoperative affected limb function after the surgery of breast cancer in our hospital,and advanced planning and post-processing check mode is applied.Through the targeted implementation,detection and solving problems by the medical staff,patients and family members,the function of postoperative affected limb is improved,so that the management of patients in the departments is more standardized,the compliance with the treatment is improved and the length of stay is shortened.It is of great value of clinical popularization,promotion,and application.
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