Effects of PDCA on psychological status and quality of life in patients with bladder cancer after transurethral resection of bladder tumor

Abstract

Objective To investigate the effect of Plan-Do-Check-Action (PDCA) on postoperative psychological status and quality of life in patients with bladder cancer undergoing transurethral resection of bladder tumor (TURBT) . Methods A total of 95 patients with non muscle invasive bladder cancer (NMIBC) undergoing TURBT hospitalized in Army General Hospital from November 2013 to November 2015 were selected and randomly divided into the control group (n=47) and the observation group (n=48) . Patients in the control group received routine nursing care, while patients in the observation group received additional PDCA. The changes of serum norepinephrine (NE) , epinephrine (E) and cortisol (Cor) levels were observed before and after the intervention in two groups. The SAS, SDS and the Self-esteem Scale (SES) were used to evaluate the psychological status of patients. The Simple Quality of Life Scale-36 (SF-36) was applied to evaluate the quality of life of patients. Results The postoperative serum NE, E and Cor levels of patients in the observation group were significantly lower than those in the control group (P<0.01) . At 1 month after the operation, SAS and SDS scores of patients in the observation group were lower than those in the control group, while SES score in the observation group was higher than that of the control group; there were statistically significant differences between two groups (P<0.01) . At 18 months after the operation, SF-36 score of patients in the observation group was significantly higher than that of the control group (P<0.01) . Conclusions PDCA can effectively reduce the postoperative stress reaction of bladder cancer patients after TURBT and improve their psychological status and quality of life, which is worthy of clinical promotion. Key words: Urinary bladder neoplasms; Quality of life; Plan-Do-Check-Action; Transurethral resection of bladder tumor; Psychological status