Volume 24 Issue 2
Feb.  2026
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(2): 340-344
JIA Yujuan, ZHANG Xize, LI Yan, CHENG Zhifang. Study on the application effect of operation room management based on PDCA mode in patients with lung cancer surgery[J]. Chinese Journal of General Practice, 2026, 24(2): 340-344. doi: 10.16766/j.cnki.issn.1674-4152.004393
Citation: JIA Yujuan, ZHANG Xize, LI Yan, CHENG Zhifang. Study on the application effect of operation room management based on PDCA mode in patients with lung cancer surgery[J]. Chinese Journal of General Practice, 2026, 24(2): 340-344. doi: 10.16766/j.cnki.issn.1674-4152.004393
shu

Study on the application effect of operation room management based on PDCA mode in patients with lung cancer surgery

doi: 10.16766/j.cnki.issn.1674-4152.004393

  • Operating Room, the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan 450009, China

Funds:

 国中医药政函〔2024〕90号

 中医护理学，2024

  • Received Date: 2025-02-24
    Available Online: 2026-04-11
    Abstract
  •   Objective  To investigate the efficacy of the PDCA model in managing operating rooms, with a specific focus on its potential to mitigate the stress response of patients undergoing lung cancer surgery, and to minimize the occurrence of postoperative complications. The findings of this study are expected to provide a scientific foundation and practical guidance for the refinement of perioperative management for patients undergoing lung cancer surgery.  Methods  A cohort of 96 patients who underwent surgical intervention for lung cancer at the First Affiliated Hospital of Henan University of Traditional Chinese Medicine between January 2022 and January 2024 was selected and classified into the control group and the observation group according to random number table, with 48 cases in each group. The control group was managed in accordance with conventional operating room protocols, while the observation group was managed in accordance with an operating room-based PDCA model. The preoperative and postoperative metrics, stress indexes, the postoperative complication rate, and nursing satisfaction of two groups were compared.  Results  The durations for initial ambulation, intraoperative blood loss, first voiding, length of hospital stay, and time to first anal gas emission in the observation group were significantly lower than those in the control group (P < 0.05). Preoperatively, there was an absence of notable disparity in the stress biomarkers, namely epinephrine (E), cortisol (Cor), and norepinephrine (NE), between the two cohorts (P>0.05). Post operatively, elevations in the concentrations of Cor, E, and NE were observed in both groups; however, the magnitudes of these increases were notably attenuated in the observation group relative to the control group (P < 0.05). The observational cohort demonstrated a postoperative complication incidence rate of 10.42% (5/48), which was substantially inferior to the 33.33% (16/48) recorded in the control cohort (P < 0.05). The satisfaction levels of patients with regard to nursing care in the observation group amounted to 93.75% (45/48), which was considerably elevated in comparison to the 79.17% (38/48) recorded in the control group (P < 0.05).  Conclusion  The operating room management based on the PDCA model has been shown to effectively improve the operation period index, reduce the stress response of patients undergoing lung cancer surgery, reduce the incidence of postoperative complications and improve nursing satisfaction, which is worthy of clinical application.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    MEYER M L, PETERS S, MOK T S, et al. Lung cancer research and treatment: global perspectives and strategic calls to action[J]. Ann Oncol, 2024, 35(12): 1088-1104. doi: 10.1016/j.annonc.2024.10.006
    [2]
    GARASSINO M C, TORRI V. Neoadjuvant or perioperative approach in lung cancer[J]. N Engl J Med, 2024, 390(19): 1816-1818. doi: 10.1056/NEJMe2403723
    [3]
    DUNNE E G, FICK C N, TAN K S, et al. Lung resection after initial nonoperative treatment for non-small cell lung cancer[J]. J Thorac Cardiovasc Surg, 2024, 168(2): 364-373.e10. doi: 10.1016/j.jtcvs.2023.11.040
    [4]
    杨勇坡, 董小齐, 王军亮. 胸腔镜手术对非小细胞肺癌患者血清炎症因子及疼痛应激指标的影响[J]. 实用癌症杂志, 2022, 37(3): 425-427.

    YANG Y P, DONG X Q, WANG J L. Effects of thoracoscopic surgery on serum inflammatory factors and pain stress indicators in patients with non-small cell lung cancer[J]. The Practical Journal of Cancer, 2022, 37(3): 425-427.
    [5]
    吴瑞阳, 韩灵龙, 栗付民. 帕瑞昔布钠对胸腔镜下肺癌手术患者镇痛效果、血清炎症因子及氧化应激反应的影响[J]. 分子诊断与治疗杂志, 2022, 14(7): 1246-1249, 1254.

    WU R Y, HAN L L, LI F M, et al. Effects of parecoxib sodium on analgesic efficacy, serum inflammatory factors, and oxidative stress response in patients undergoing thoracoscopic lung cancer surgery[J]. Journal of Molecular Diagnostics and Therapy, 2022, 14(7): 1246-1249, 1254.
    [6]
    刘秀兰, 纪国余, 邱利飞, 等. 依托咪酯应用于维持麻醉中对肺癌手术患者血流动力学与应激反应的影响[J]. 中华保健医学杂志, 2022, 24(5): 408-411.

    LIU X L, JI G Y, QIU L F, et al. Effects of etomidate on hemodynamics and stress response in lung cancer surgery patients during maintenance anesthesia[J]. Chinese Journal of Health Care and Medicine, 2022, 24(5): 408-411.
    [7]
    张伟, 黄平悦. 围术期预防性麻醉管理在老年肺癌手术患者中的应用及对血流动力学和预后的影响[J]. 检验医学与临床, 2022, 19(19): 2691-2694.

    ZHANG W, HUANG P Y. Application of perioperative preventive anesthesia management in elderly lung cancer surgery patients and its impact on hemodynamics and prognosis[J]. Laboratory Medicine and Clinic, 2022, 19(19): 2691-2694.
    [8]
    徐丽红, 姜华, 陶顺利. 术中急性压力性损伤风险防控护理管理在胸腔镜下肺癌根治术患者中的应用效果[J]. 国际护理学杂志, 2023, 42(18): 3359-3363.

    XU L H, JIANG H, TAO S L. Application effect of intraoperative acute pressure injury risk prevention nursing management in patients undergoing thoracoscopic radical resection of lung cancer[J]. International Journal of Nursing, 2023, 42(18): 3359-3363.
    [9]
    李淑玲. 基于加速康复外科理念的手术室护理在老年肺癌根治术患者中的应用效果及VAS评分影响分析[J]. 介入放射学杂志, 2024, 33(10): 后插6.

    LI S L. Application effect of operating room nursing based on enhanced recovery after surgery in elderly patients undergoing radical lung cancer surgery and its impact on VAS scores[J]. Journal of Interventional Radiology, 2024, 33(10): Suppl 6.
    [10]
    符霞, 林巍, 谭义文, 等. 加速康复外科理念在老年肺癌根治术患者手术室护理中的临床效果[J]. 中国老年学杂志, 2022, 42(22): 5448-5450.

    FU X, LIN W, TAN Y W, et al. Clinical effect of enhanced recovery after surgery in operating room nursing for elderly patients undergoing radical lung cancer surgery[J]. Chinese Journal of Gerontology, 2022, 42(22): 5448-5450.
    [11]
    郑倩, 张雅玲. 基于FOCUS-PDCA理论的风险管理改善手术室麻醉护理质量的作用观察[J]. 浙江临床医学, 2022, 24(4): 599-601.

    ZHENG Q, ZHANG Y L. Observation on the effect of FOCUS-PDCA-based risk management in improving the quality of operating room anesthesia nursing[J]. Zhejiang Clinical Medical Journal, 2022, 24(4): 599-601.
    [12]
    周益, 高芸艺, 李舍予, 等. 基于PDCA循环构建住院患者血糖主动干预运营管理模式的实践研究[J]. 中国全科医学, 2023, 26(15): 1811-1816.

    ZHOU Y, GAO Y Y, LI S Y, et al. Practice research on constructing an active intervention operation management model for inpatients' blood glucose based on PDCA cycle[J]. Chinese General Practice, 2023, 26(15): 1811-1816.
    [13]
    张繁, 朱玉芬, 毛冰佳, 等. 针对性干预对肺癌手术患者术后肺功能及应激反应的影响[J]. 癌症进展, 2023, 21(2): 202-205, 209.

    ZHANG F, ZHU Y F, MAO B J, et al. Effect of targeted intervention on postoperative pulmonary function and stress response in lung cancer surgery patients[J]. Oncology Progress, 2023, 21(2): 202-205, 209.
    [14]
    卢红, 王安, 施燕娟, 等. 希望水平在肺癌患者胸腔镜手术创伤后成长和生活质量间的中介效应[J]. 中华全科医学, 2024, 22(9): 1605-1608. doi: 10.16766/j.cnki.issn.1674-4152.003693

    LU H, WANG A, SHI Y J, et al. The mediating effect of hope level between post-traumatic growth and quality of life in lung cancer patients undergoing thoracoscopic surgery[J]. Chinese Journal of General Practice, 2024, 22(9): 1605-1608. doi: 10.16766/j.cnki.issn.1674-4152.003693
    [15]
    付洁, 邱红丽. 基于程序的整体干预在胸腔镜手术治疗老年肺癌中的运用效果[J]. 医药论坛杂志, 2024, 45(21): 2293-2297.

    FU J, QIU H L. Application effect of procedure-based holistic intervention in thoracoscopic surgery for elderly lung cancer patients[J]. Journal of Medical Forum, 2024, 45(21): 2293-2297.
    [16]
    程辰, 张静, 毛启星. 单孔胸腔镜手术与三孔胸腔镜手术对老年非小细胞肺癌患者术后肿瘤微转移及应激反应影响的对比观察[J]. 临床和实验医学杂志, 2024, 23(16): 1711-1714.

    CHENG C, ZHANG J, MAO Q X. Comparative observation of the effects of single-port versus three-port thoracoscopic surgery on postoperative tumor micrometastasis and stress response in elderly patients with non-small cell lung cancer[J]. Journal of Clinical and Experimental Medicine, 2024, 23(16): 1711-1714.
    [17]
    王辉, 郑翔, 闻作川, 等. 三孔和单孔胸腔镜手术对非小细胞肺癌患者围术期应激指标水平及并发症的影响[J]. 分子诊断与治疗杂志, 2023, 15(11): 1921-1924, 1929.

    WANG H, ZHENG X, WEN Z C, et al. Effects of three-port and single-port thoracoscopic surgery on perioperative stress indicators and complications in patients with non-small cell lung cancer[J]. Journal of Molecular Diagnostics and Therapy, 2023, 15(11): 1921-1924, 1929.
    [18]
    席婷, 姬学光, 孙红梅. 基于PDCA循环管理模式的个性化护理在急性心肌梗死患者中的护理效果观察[J]. 贵州医药, 2022, 46(1): 162-163.

    XI T, JI X G, SUN H M. Observation of nursing effect of PDCA cycle-based personalized nursing in patients with acute myocardial infarction[J]. Guizhou Medical Journal, 2022, 46(1): 162-163.
    [19]
    唐景洁, 王密芳, 何小玲, 等. 基于PDCA循环护理模式预防ICU危重患者并发下肢深静脉血栓形成的研究[J]. 中国中西医结合急救杂志, 2022, 29(4): 462-465.

    TANG J J, WANG M F, HE X L, et al. Study on PDCA cycle-based nursing model to prevent lower extremity deep vein thrombosis in critically ill ICU patients[J]. Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care, 2022, 29(4): 462-465.
    [20]
    陈锐贞, 陈东霞, 邱颖. 基于PDCA循环的饮食干预模式对非酒精性脂肪肝患者脂代谢指标、生活质量的影响[J]. 国际护理学杂志, 2023, 42(6): 1080-1084.

    CHEN R Z, CHEN D X, QIU Y. Effects of PDCA cycle-based dietary intervention on lipid metabolism and quality of life in patients with non-alcoholic fatty liver disease[J]. International Journal of Nursing, 2023, 42(6): 1080-1084.
    [21]
    王志华, 王静, 李逸飞, 等. 超声引导下胸椎旁神经阻滞对肺癌患者血流动力学、应激反应、术后痛敏反应和复苏质量的影响[J]. 临床和实验医学杂志, 2022, 21(1): 102-106.

    WANG Z H, WANG J, LI Y F, et al. Effects of ultrasound-guided thoracic paravertebral nerve block on hemodynamics, stress response, postoperative hyperalgesia, and recovery quality in lung cancer patients[J]. Journal of Clinical and Experimental Medicine, 2022, 21(1): 102-106.
    [22]
    梁建伟, 曹兵, 王晨, 等. 单孔胸腔镜肺癌根治术治疗早期NSCLC对应激反应指标、miR-20a、TOP2A的影响[J]. 分子诊断与治疗杂志, 2023, 15(9): 1569-1573.

    LIANG J W, CAO B, WANG C, et al. Effects of single-port thoracoscopic radical lung cancer surgery on stress response indicators, miR-20a, and TOP2A in early-stage NSCLC[J]. Journal of Molecular Diagnostics and Therapy, 2023, 15(9): 1569-1573.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (6) PDF downloads(0) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return