持续质量改进的医护一体化管理模式对重症慢阻肺呼吸衰竭患者的影响

The Impact of Continuous Quality Improvement Integrated Medical Nursing Management Modelon Patients with Severe Chronic Obstructive Pulmonary Disease Respiratory Failure

目的:探讨重症慢阻肺呼吸衰竭运用持续质量改进的医护一体化管理模式干预的价值。方法:选取2021年2月至2023年5月福建厦门市中医院呼吸与危重症医学科收治的重症慢阻肺呼吸衰竭者100例作为研究对象,随机分为对照组和观察组,每组50例。对照组用常规方式护理,观察组实施持续质量改进下医护一体化模式的护理。比较护理前后睡眠质量、心理状态,评价患者的护理质量。结果:护理后,2组患者匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均较护理前降低,且观察组评分低于对照组(均P<0.05);观察组患者护理质量评分高于对照组(P<0.05)。结论:持续质量改进的医护一体化管理对重症慢阻肺伴呼吸衰竭者干预,能改善患者的睡眠,改善其心理状态。

Objective:To investigate the value of continuous quality improvement integrated medical nursing management model in severe chronic obstructive pulmonary disease(COPD)respiratory failure.Methods:A total of 100 patients with severe COPD respiratory failure were selected and randomly divided into control group and observation group,50 cases in each group.The control group was treated with routine nursing,and the observation group was treated with integrated nursing mode under continuous quality improvement.The quality of sleep and mental state before and after nursing were compared to evaluate the quality of nursing.Results:After nursing,the scores of Pittsburgh Sleep Quality Index(PSQI),Self-rating Anxiety Scale(SAS)and Self-rating Depressed Scale(SDS)in 2 groups were lower than before nursing,and the scores in observation group were lower than those in control group(P s<0.05).The nursing quality score of observation group was higher than that of control group(P<0.05).Conclusion:Continuous quality improvement of integrated management of medical nursing can improve the sleep and psychological state of patients with severe COPD and respiratory failure.