Impacts of PDCA circle’s clinical nursing path on the postoperative recovery and life quality of gastric patients

Objective: PDCA circle is a quality management circle including Plan, Do, Check and Act. This study examines the impacts of PDCA circle’s clinical nursing path on the postoperative recovery and life quality of gastric cancer patients. Methods: Select100 cases of gastric cancer patients on the Department of General Surgery in our hospital from July 2015 to July 2016. In accordance with the random number table, the patients were divided into PDCA group and control group, with 50 cases in each group. Control group was treated with conventional nursing. Besides the treatment above, PDCA group was applied with the intervention of PDCA circle’s clinical nursing path. During the period, make preoperative preparation and guidance, strengthen the postoperative drainage tube nursing, encourage early activities from patients, enhance the extent of healthy education and offer positive and effective mental nursing. To be continued, observe the gastrointestinal functionrecovery, postoperative rehabilitation and life quality of patients. Then investigate the patient’s mastery of health knowledge and satisfaction. Results: The recovery time of postoperative borborygmus, postoperative restart of anal exhaust, diet recovery and defecation function of patients in PDCA group were dramatically less than that of control group. And the difference was statistically significant (P<0.05). The time of indwelling urethral catheter, out-of-bed activity and stay in hospital of patients in PDCA group were less than that in control group. And the difference was statistically significant (P<0.05). On admission, the difference of the life quality scores between two groups was not statistically significant (P>0.05). After implementing PDCA clinical nursing path, the patients in PDAC group had higher scores in the life quality such as physical function, role function, emotional function, cognitive function, social function than the control group did (P<0.05). After the invention in the PDCA group, the patients had higher scores in physical function, role function, emotional function, cognitive function, social function than before (P<0.05). The patients in the PDCA group had higher qualified healthy education rates and degree of satisfaction (P<0.05). Conclusion: Implement of PDCA circle’s clinical nursing path has positive effects on the improvement of gastric patients’ gastrointestinal function, postoperative recovery, satisfaction and the mastery of disease knowledge.