品管圈活动在雾化吸入治疗小儿肺炎中的应用及对预后的影响

Application of quality control circle activity in the treatment of infantile pneumonia by aerosol inhalation

目的探讨品管圈活动在雾化吸入治疗小儿肺炎中的应用及对预后的影响。方法开展以＂提高氧化雾化吸入的有效率＂为主题的品管圈活动,运用PDCA循环的方法,统计患儿的雾化吸入情况,分析雾化吸入失败原因、设定改进目标,制定对策并组织实施。比较实施品管圈活动前后2组患者临床症状（憋喘消失时间、肺部啰音消失时间、退热时间）及住院时间,心力衰竭发生率、院内感染率、复发率、依从性,满意度,治疗疗效。结果实施后,患儿憋喘消失时间、肺部啰音消失时间、退热时间、住院时间均显著小于实施前,差异具有统计学意义（P〈0.05）;心力衰竭发生率、院内感染率、复发率均显著小于实施前,差异具有统计学意义（P〈0.05）,依从性较实施前显著升高,差异具有统计学意义（P〈0.05）;护理满意度显著高于实施前,差异具有统计学意义（P〈0.05）;实施后总有效率显效高于对照组实施前,差异具有统计学意义（P〈0.05）。结论品管圈活动在雾化吸入治疗小儿肺炎中能够取得满意的效果,减少不良事件的发生,有利于患儿的预后,从而提高治疗疗效以及满意度。

Objective To research application of quality control circle activity in the treatment of infantile pneumonia by aerosol inhalation.Methods Carry out the quality control circle activity with the theme of ＂improving the efficiency of the oxidation atomization inhalation＂,using the method of PDCA cycle,statistics of inhalation of children,analyze the reasons for the failure of atomization inhalation,set up the improvement target,make the countermeasure and organize the implementation.Then clinical symptoms（the time of evacuation,the time of lung rale disappearance and the time of fever suppression）,hospitalization time,Heart failure rate,nosocomial infection rate,recurrence rate,compliance,satisfaction degree,treatment effect were compared two groups of quality control circle activities before and after.Results After implementation,children with wheeze disappearance time,pulmonary rales disappeared time,cooling time,hospitalization time were significantly lower than the before implementation,the difference was statistically significant（P〈0.05）;Incidence of heart failure,nosocomial infection rate,recurrence rate were significantly lower than the before implementation,the difference was statistically significant（P〈0.05）,compliance were significantly higher than the before implementation,the difference was statistically significant（P〈0.05）;Nursing satisfaction were significantly higher than the before implementation,the difference was statistically significant（P〈0.05）;total effective rate were significantly higher than the before implementation,the difference was statistically significant（P〈0.05）.Conclusion Quality control circle activity can achieve satisfactory results in the treatment of children＇s pneumonia by aerosol inhalation,can reduce the occurrence of adverse events,is conducive to the prognosis of children,so as to improve treatment efficacy and satisfaction.