【摘要】 目的 探讨计划实施确认处置(PDCA)程序的护理干预策略对乳腺癌静脉输液港化疗过程的影响。方法 回顾性收集本院2019年12月至2020年12月乳腺癌静脉输液港化疗患者99例，按照随机数字表法分组。对照组49例，予以常规护理，观察组50例，予以PDCA程序的护理干预策略。比较两组患者负性情绪[焦虑(SAS)、抑郁(SDS)]、自护能力(ESCA)、自我感受负担(SPBS-CP)、并发症发生率及护理工作满意度。结果 观察组干预后SAS、SDS评分低于对照组，差异有统计学意义(P <0.05)；干预后观察组ESCA评分高于对照组，SPBS-CP评分低于对照组，差异有统计学意义(P <0.05)；观察组并发症发生率8.00%(4/50)低于对照组26.53%(13/49)，差异有统计学意义(P <0.05)；观察组护理工作满意度98.00%(47/50)高于对照组83.69%(38/49)，差异有统计学意义(P <0.05)。结论 PDCA程序的护理干预策略能提高乳腺癌静脉输液港化疗患者的自护能力，减轻其负性情绪及自我感受负担，降低患者并发症发生率，增强患者护理满意度，值得临床应用。更多还原

【Abstract】 Objective To explore the effect of the nursing intervention strategy on the process of chemotherapy in the intravenous transfusion port of breast cancer. Method A total of 99 patients with chemotherapy in intravenous transfusion port were collected from December 2019 to December 2020, and grouped by random number method. The control group given regular care(49 cases), the observation group given the care intervention strategy of the pdca program(50 cases). Negative emotions [anxiety(SAS), depression(SDS)], self-care ability(ESCA), self-perceived burden(SPBS-CP), incidence of complications and nursing satisfaction were compared between the two groups. Results SAS and SDS scores of the observation group were lower than those of the control group after intervention, and the differences were statistically significant(P < 0.05). After intervention, ESCA score of observation group was higher than control group, SPBS-CP score was lower than control group, the difference was statistically significant(P < 0.05). The complication rate of the observation group was 8.00%(4/50) lower than that of the control group(26.53%(13/49), and the difference was statistically significant(P < 0.05). Nursing job satisfaction in the observation group was 98.00%(47/50) higher than that in the control group(83.69%(38/49), and the difference was statistically significant(P < 0.05). Conclusion The nursing intervention strategy of PDCA program can improve the self-care ability of patients with breast cancer intravenous infusion port chemotherapy, reduce their negative emotions and self-feeling burden, reduce the incidence of complications, enhance the nursing satisfaction of patients, worthy of clinical application.更多还原