摘要
目的 探究基于PDCA循环优化的程序性护理干预用于小儿支原体肺炎的效果。方法 选取2021年8月至2023年8月南阳南石医院收治的240例小儿支原体肺炎患儿实施前瞻性研究,按照随机数字表法分为研究组120例、对照组120例。对照组接受常规护理干预,研究组接受基于PDCA循环优化的程序性护理干预,比较两组干预后疗效、依从率、临床症状好转时间、肺功能与血气指标、并发症的差异。结果 等级资料秩和检验结果显示,两组干预后疗效、依从率比较,差异有统计学意义(P<0.05),且研究组干预后总有效率、依从率较对照组高(P<0.05)。与对照组相比,研究组咳嗽时间、肺部湿啰音时间、气促时间、退热时间、住院时间短(P<0.05)。与干预前相比,干预后两组第1秒用力呼气容积(FEV_(1))/用力肺活量(FVC)比值、动脉血氧分压(PaO_(2))均升高,动脉血二氧化碳分压(PaCO_(2))均降低(P<0.05);研究组FEV_(1)/FVC、PaO_(2)、PaCO_(2)、差值均优于对照组(P<0.05)。与对照组相比,研究组并发症发生率更低(P<0.05)。结论 基于PDCA循环优化的程序性护理干预应用于小儿支原体肺炎临床服务干预具有较好疗效,可有效提高患儿依从率,改善肺功能与血气指标,促进临床症状好转,降低并发症发生率。
Objective To explore the effectiveness of a procedural nursing intervention based on PDCA cycle optimization for pediatric mycoplasma pneumonia.Methods A prospective study was conducted on 240 patients with pediatric mycoplasma pneumonia admitted to Nanyang Nanshi Hospital from August 2021 to August 2023.They were divided into a study group of 120 cases and a control group of 120 cases using a random number table method.The control group implemented a routine nursing model,while the research group implemented a procedural nursing intervention based on PDCA cycle optimization.The differences in efficacy,compliance rate,clinical symptom improvement time,lung function and blood gas indicators and complications between the two groups after intervention were compared.Results The rank sum test results of the hierarchical data showed that there was difference in the efficacy and compliance rate between the two groups after intervention(P<0.05),and the total efficacy and compliance rate of the study group after intervention were better than those of the control group(P<0.05).Compared with the control group,the study group had shorter cough duration,lung moist rale duration,shortness of breath duration,fever reduction duration,and hospitalization duration(P<0.05).Compared with before intervention,forced expiratory volume in one second/forced vital capacity(FEV_(1)/FVC),partial pressure of oxygen in arterial blood(PaO_(2))increased,and partial pressure of carbon dioxide in arterial blood(PaCO_(2))decreased in both groups after intervention(P<0.05).The FEV_(1)/FVC,PaO_(2),PaCO_(2) and difference values in the study group were all better than those in the control group(P<0.05).Compared with the control group,the incidence of complications in the study group was lower(P<0.05).Conclusion The application of a procedural nursing intervention based on PDCA cycle optimization in the clinical care of pediatric mycoplasma pneumonia has good therapeutic effects,which can effectively improve the compliance rate of children,improve lung function and blood gas indicators,promote clinical symptom improvement,and reduce the incidence of complications.
作者
李珊珊
王天青
王晓
LI Shanshan;WANG Tianqing;WANG Xiao(Pediatric Department,Nanyang Nanshi Hospital,Nanyang 473000,China)
出处
《河南医学研究》
CAS
2024年第12期2301-2304,共4页
Henan Medical Research
