Case Control Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2022; 10(27): 9611-9618
Published online Sep 26, 2022. doi: 10.12998/wjcc.v10.i27.9611
PDCA nursing in improving quality management efficacy in endoscopic submucosal dissection
Yan-Hua He, Fang Wang
Yan-Hua He, Fang Wang, Digestive Endoscopy Center, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Author contributions: Wang F conducted the experiments; He YH performed the data collection, collation, and analysis; He YH and Wang F jointly completed the writing of this manuscript.
Institutional review board statement: This study was approved by the Ethics Committee of the First Affiliated Hospital of Soochow University.
Informed consent statement: All participants signed an informed consent form before participating in the study.
Conflict-of-interest statement: The authors declare no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to the STROBE Statement checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fang Wang, MBChB, Nurse, Digestive Endoscopy Center, The First Affiliated Hospital of Soochow University, No. 899 Pinghai Road, Suzhou 215006, Jiangsu Province, China. fangfang7595@163.com
Received: June 19, 2022
Peer-review started: June 19, 2022
First decision: July 26, 2022
Revised: August 4, 2022
Accepted: August 16, 2022
Article in press: August 16, 2022
Published online: September 26, 2022
Processing time: 88 Days and 12 Hours
Abstract
BACKGROUND

Endoscopic submucosal dissection (ESD) is a common surgical strategy for the treatment of early gastrointestinal tumors and precancerous lesions. PDCA nursing can effectively prevent potential risks in the nursing process, protect patient privacy, and improve patient satisfaction, nursing integrity, and service quality.

AIM

To explore the effects of PDCA nursing model on the quality management of gastrointestinal ESD, the 36-item Shot-Form Health Survey (SF-36) score, and negative emotions.

METHODS

A total of 178 patients who underwent ESD between January 2020 and January 2021 were divided into two groups. The usual care mode was the control group, with 80 cases from January to July 2020; from July 2020 to January 2021, 98 patients were enrolled in the PDCA care mode as the research group. The length of hospital stay and the costs of the two groups were statistically analyzed. The visual analog scale (VAS), SF-36 score, Zung self-rating scale for anxiety and depression, and postoperative complications were also assessed.

RESULTS

The length of hospitalization and cost in the research group were lower than in the control group (P < 0.05), and the VAS scores were lower than those before care (P < 0.05). Moreover, the VAS score of the research group was lower than that of the control group (P < 0.05). The SF-36 scores for physical function, role status, social function, pain, mental health, and physical strength were higher in the research group than in the control group (P < 0.05). Depression and anxiety scores of the research group were lower than those of the control group (P < 0.05). The postoperative complication rate in the research group (6.12%) was lower than in the control group (32.50%) (P < 0.05).

CONCLUSION

PDCA nursing can improve the quality of management of ESD surgery, shorten the length of hospital stay and cost, reduce the VAS and Zung scale scores to alleviate adverse emotions, improve the SF-36 score, and reduce postoperative complications.

Keywords: PDCA care; Endoscopic submucosal dissection; 36-item Shot-Form Health Survey; Zung scale score; Postoperative complications

Core Tip: PDCA nursing can effectively shorten the length of hospital stay and hospitalization costs, reduce the visual analog scale and Zung scale scores, relieve the pain and negative emotions of patients, improve the 36-item Shot-Form Health Survey score, reduce the occurrence of postoperative complications, and significantly impact the quality management of gastrointestinal endoscopic submucosal dissection.