PDCA护理模式对支气管哮喘患者气道功能、依从性及生活质量的影响

Application effect of PDCA nursing model on airway function,compliance,and quality of life in patients with bronchial asthma

目的探讨PDCA护理模式对支气管哮喘(简称“哮喘”)患者气道功能、依从性及生活质量的影响。方法选取北京朝阳医院西区2019年5月至2022年6月收治的100例哮喘患者,按随机数字表法将其分为PDCA组和对照组,各50例。PDCA组采取PDCA护理模式,对照组采取常规护理。两组均干预1个月比较两组干预前后的用药依从性、气道功能[潮气量、呼吸频率及呼气峰流速(PEF)]及生活质量[采用哮喘生存质量量表(AQLQ)评估]。结果干预后,两组用药依从性均优于本组干预前,且PDCA组优于对照组,差异有统计学意义(P<0.05);干预后,两组潮气量高于本组干预前,呼吸频率与PEF低于本组干预前,且PDCA组潮气量高于对照组,呼吸频率与PEF低于对照组,差异有统计学意义(P<0.05);两组AQLQ各维度均分与总均分均高于干预前,且PDCA组高于对照组,差异有统计学意义(P<0.05)。结论PDCA护理模式用于哮喘患者可完善护理服务,提高患者用药依从性,促进气道功能与生活质量的改善。

Objective To explore the effect of PDCA nursing model on airway function,compliance,and quality of life in patients with bronchial asthma(hereinafter referred to as“our hospital”).Methods A total of 100 patients with asthma admitted to the Western District of Beijing Chaoyang Hospital from May 2019 to June 2022 were selected,and they were divided into PDCA group and control group by random number table method,with 50 cases in each group.PDCA group adopted PDCA nursing mode,the control group received routine care.Both groups were treated for one month.Medication compliance,airway function(tidal volume,respiratory rate,and peak expiratory flow rate[PEF])and quality of life(assessed by asthma quality of life scale[AQLQ])were compared between the two groups before and after intervention.Results After intervention,medication compliance in both groups was better than before intervention,and PDCA group was better than control group,the differences were statistically significant(P<0.05);after intervention,tidal volume of the two groups was higher than before intervention,respiratory rate and PEF were lower than before intervention,and tidal volume of PDCA group was higher than control group,respiratory rate and PEF were lower than control group,the differences were statistically significant(P<0.05);the mean score of each dimension and total mean score of AQLQ in two groups were higher than before intervention,and PDCA group was higher than control group,the differences were statistically significant(P<0.05).Conclusion PDCA nursing model for patients with asthma can improve nursing services,improve patients’medication compliance,and promote the improvement of airway function and quality of life.