PDCA循环管理模式对小儿支气管肺炎的临床应用效果

Clinical application of PDCA circulation management in children with bronchopneumonia

目的探讨PDCA循环管理模式对小儿支气管肺炎的护理效果。方法选取2016年1月至2017年6月本科收治的90例小儿支气管肺炎患儿,按照随机数字表法分为观察组和对照组,每组45例。对照组给予常规儿科护理管理,观察组采用PDCA循环护理管理模式。比较两组患儿治疗前后的临床效果、肺功能指标(FVC、FEV_1、PEF、FEF_(25%~75%))、并发症发生情况、患儿家属对于疾病知识的掌握情况及护理满意度等。结果观察组患儿治疗总有效率为95.6%(43/45),明显高于对照组的80.0%(36/45),且肺功能指标FVC、FEV_1、PEF、FEF_(25%~75%)均明显优于对照组,差异有显著性(P<0.05)。观察组患儿并发症发生率为6.7%(3/45),明显低于对照组的22.2%(10/45),患儿家属对于疾病知识的掌握情况优于对照组,且护理满意度(93.3%)高于对照组(77.8%),差异均有显著性(P<0.05)。结论对于小儿支气管肺炎患儿,应用PDCA循环护理管理模式不仅可提高疗效、改善肺功能,还能加强患儿家属对疾病知识的掌握情况,提高护理满意度,值得临床推广应用。

Objective To explore the nursing effect of PDCA cycle management model in children with bronchopneumonia. Method A total of 90 children with bronchopneumonia admitted in the undergraduate room from January 2016 to June 2017 were randomly divided into the observation group（45 cases） and the control group（45 cases） according to the random number table method. The control group was given routine paediatric nursing management, and the observation group was given the PDCA cycle nursing management model. The clinical effects, pulmonary function indicators（FVC, FEV1, PEF, FEF（25%-75%））, the occurrence of complications, the knowledge of family members and the degree of nursing satisfaction between the 2 groups before and after treatment were compared. Result The total efficiency of the observation group（95.6%, 43/45） was higher than that of the control group（80%, 36/45）; the indexes of lung function in the observation group were significantly better than the control group; the observation group with the incidence of complications（6.7%, 3/45） was lower than the control group（22.2%, 10/45）; for the families of children with the knowledge of diseases is better than the control group, and nursing satisfaction of observation group（93.3%, 42/45）was higher than that of the control group（77.8%, 35/45）. The differences of the above 2 groups were all statistically significant（P〈0.05）. Conclusion The application of PDCA nursing management mode to children with bronchial pneumonia can not only improve children＇s curative effect, improve their lung function, but also improve their family members＇ knowledge of related diseases and improve their satisfaction degree, which is worthy of clinical application.