国际医药卫生导报2025，Vol.31Issue(12)：2083-2088,6.DOI:10.3760/cma.j.cn441417-20250220-12030
持续质量改进在老年癌痛患者管理中的应用
Application of continuous quality improvement in the management of elderly patients with cancer pain
摘要
Abstract
Objective Taking the monitoring results of the evaluation indicators of pain care quality as the entry point,organize and carry out the continuous improvement of pain care quality based on the monitoring results to enhance the care quality of elderly cancer pain patients.Methods By using the self-before-and-after control method,95 elderly patients with cancer pain admitted to Cadre Health Care Center,Drum Tower Hospital Affiliated to Nanjing University Medical School were selected as the research subjects.According to the nursing intervention methods,they were divided into a control group and an observation group.The control group received conventional nursing,while the observation group implemented a cancer pain nursing plan with continuous quality improvement on the basis of conventional nursing.The number of male and female cases in the control group were 20 and 10,respectively,aged 62～83(72.45±5.18)years;there were 10 cases with educational attainment of primary school or below,18 cases of middle school,and 2 cases of college or above.There were 8 cases of stage Ⅰ cancer,8 cases of stage Ⅱ cancer,10 cases of stage Ⅲ cancer and 4 cases of stage Ⅳ cancer.The number of male and female cases in the observation group were 42 and 23 respectively,aged 61～85(73.58±6.37)years;there were 15 cases with educational attainment of primary school or below,38 cases of middle school,and 12 cases of college or above.There were 14 cases of stage Ⅰ cancer,19 cases of stage Ⅱ cancer,22 cases of stageⅢ cancer and,10 cases of stage Ⅳ cancer.Among the 20 female nurses participating in this study,5(8.5％)had a junior college degree and 15(25.4％)had a bachelor's degree.The intervention period was two months.The compliance rates of pain care quality evaluation indicators(including the completion rate of pain assessment frequency,the awareness rate of health education,the standardized medication rate,etc.)of the two groups were compared,as well as the application effects of continuous quality improvement measures.Statistical analysis was performed using t-tests and x2 tests.Results The satisfaction with pain management in the observation group was significantly higher than that in the control group[92.31％(60/65)vs.77.42％(24/31)](x2=4.25,P=0.045).The completion rate of pain assessment frequency,the awareness rate of health education,and the standardized use rate of Doraji patches were all significantly higher than those in the control group,and the differences were statistically significant(all P＜0.05).There were no statistically significant differences in the coverage rate of pain assessment at admission and the correct rate of pain assessment tool selection before and after the intervention(all P＞0.05).Conclusion Constructing the evaluation indicators of pain care quality and conducting continuous quality improvement of elderly cancer pain care is conducive to improving the quality of elderly cancer pain care and enhancing patients' satisfaction.关键词
肿瘤/老年人/护理质量评价指标/质量改进/疼痛管理Key words
Tumor/The elderly/Nursing quality evaluation indicators/Quality improvement/Management of pain引用本文复制引用
任传薇,李会颖,沈艳婷..持续质量改进在老年癌痛患者管理中的应用[J].国际医药卫生导报,2025,31(12):2083-2088,6.基金项目
国家自然科学基金委员会青年科学基金(82304567) （82304567）
南京鼓楼医院护理科研立项(ZSA1515) （ZSA1515）
南京鼓楼医院护理科研立项(ZSA1415) （ZSA1415）
南京鼓楼医院护理科研立项(ZSA972-1) （ZSA972-1）
南京鼓楼医院护理科研立项(2023-A1515) Youth Science Foundation of National Natural Science Foundation(82304567) （2023-A1515）
Nursing Research Project of Nanjing Drum Tower Hospital(ZSA1515) （ZSA1515）
Nursing Research Project of Nanjing Drum Tower Hospital(ZSA1415) （ZSA1415）
Nursing Research Project of Nanjing Drum Tower Hospital(ZSA972-1) （ZSA972-1）
Nursing Research Project of Nanjing Drum Tower Hospital(2023-A1515) （2023-A1515）
