【摘要】 目的：探讨基于风险理念和PDCA循环管理(PDCA管理)的护理计划在预防子宫颈癌患者放射治疗(外照射+内照射)后尿路感染的效果。方法：研究对象为2019年3月-2021年3月于泉州市光前医院就诊的90例子宫颈癌患者，随机将其分为对照组和研究组，每组45例，两组均接受子宫颈癌放射治疗根治术(外照射+内照射)。对照组给予常规护理，研究组在对照组基础上联合基于风险理念和PDCA管理的护理计划，对比两组干预效果。结果：两组干预前自护能力评分比较，差异均无统计学意义(P>0.05)；研究组干预后健康知识水平、自我概念、自我责任感、自我护理技能和总量表评分均高于对照组(P<0.05)。两组干预前生命质量评分比较，差异均无统计学意义(P>0.05)；研究组干预后生理领域、心理领域、社会关系、环境领域、总量表评分均高于对照组(P<0.05)。研究组尿潴留、尿路感染发生率均低于对照组(P<0.05)；两组局部感染、放射性膀胱炎、阴道炎、血栓发生率比较，差异均无统计学意义(P>0.05)。结论：基于风险理念和PDCA管理的护理计划能有效提高子宫颈癌患者放射治疗后的自护能力和生命质量，降低尿路感染和尿潴留的发生，值得预防子宫颈癌患者放射治疗的在临床护理干预中大力推广。更多还原

【Abstract】 Objective:To explore the effect of nursing plan based on risk concept and PDCA cycle management (PDCA management) on the prevention of urinary tract infection in patients with cervical cancer after internal irradiation.Method:A total of 90 patients with cervical cancer admitted to Guangqian Hospital of Quanzhou City from March 2019 to March 2021 were selected as the research objects.They were randomly divided into the control group and the study group,45 cases in each group.They were given radical resection of cervical cancer and postoperative internal radiation radiotherapy,the control group was given routine care,and the study group was given nursing plan based on risk concept and PDCA management on the basis of the control group.The intervention effects of two groups were compared.Result:There were no significant differences in the scores of self-care ability between two groups before intervention (P>0.05).The health knowledge level,self-concept,self responsibility,self-care skills and total scale scores of the study group after intervention were higher than those of the control group (P<0.05).There were no significant differences in the scores of quality of life between two groups before intervention (P>0.05).The scores of physiological domains,psychological domains,social relations,environmental domains and total scales in the study group after intervention were higher than those in the control group (P<0.05).The incidences of urinary retention and urinary tract infection in the study group were lower than those in the control group (P<0.05);there were no significant differences in the incidences of local infection,radiation cystitis,vaginitis and thrombosis between two groups (P>0.05).Conclusion:Nursing plan based on risk concept and PDCA management can improve self-care ability and quality of life of patients with cervical cancer after internal irradiation,reduce the incidence of urinary tract infection and urinary retention,and it is worthy of clinical promotion.更多还原