Published online Sep 26, 2022. doi: 10.12998/wjcc.v10.i27.9611
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
Endoscopic submucosal dissection (ESD) is a common surgical strategy for the treatment of early gastrointestinal cancers or precancerous lesions and is widely used in clinical practice. The key to the success of the operation is tacit cooperation between surgeons and nurses so that the lesions can be safely excised, and the occurrence of complications can be reduced or avoided. Therefore, effective cooperation of nursing staff and meticulous and comprehensive nursing are necessary for the success of the surgery. Recently, with the continuous improvement in medical levels, PDCA has been found to be more effective. It can prevent potential risks in the nursing process, protect patient privacy, and improve patient satisfaction, nursing integrity, and service quality.
This study mainly discussed the effect of PDCA nursing on improving the quality management of ESD surgery under gastrointestinal endoscopy and its impact on the 36-item Shot-Form Health Survey (SF-36) scores and negative emotions, to provide a reference for the quality management of ESD surgery under clinical gastrointestinal endoscopy.
This study aimed to explore the effect of the PDCA circulation (plan/do/check/act) nursing mode on improving the quality management of gastrointestinal ESD and its effect on the SF-36 score and negative emotions.
Patients who underwent ESD surgery from January 2020 to January 2021 were divided into two groups: the control group was treated with the conventional nursing mode, and the study group was treated with the PDCA nursing mode. The length of hospital stay and expenses in the two groups were statistically analyzed. The visual analog scale (VAS) score, SF-36 score, Zung self-rating scale for anxiety and depression, and incidence of postoperative complications were assessed before and after nursing.
The length and cost of hospitalization in the research group were lower than those in the control group, and the VAS scores were lower than those before care. Moreover, the VAS score of the research group was lower than that of the control group. The SF-36 scores for physical function, role status, social function, pain, mental health, and physical strength were higher in the experimental group than in the control group. The depression and anxiety scores of the research group were lower than those of the control group. The postoperative complication rate in the research group was lower than the control group.
PDCA nursing has a significant effect on the quality management of ESD surgery under gastrointestinal endoscopy, which can effectively shorten the length of hospital stay and hospitalization costs, reduce VAS and Zung scale scores, relieve patients’ negative emotions, improve their SF-36 scores, and reduce the occurrence of postoperative complications.
The quality management effect of PDCA nursing on gastrointestinal ESD surgery is remarkable as it can effectively shorten the time and charge of hospitalization, reduce the VAS and Zung scale scores, relieve the bad mood of people with disabilities, improve their SF-36 score, and reduce the occurrence of postoperative complications.