摘要
目的探讨PDCA循环管理在支气管肺炎患儿雾化吸入治疗中的应用效果.方法选取2020年4月—2022年4月我院收治的94例支气管肺炎患儿,按照护理方式的不同分为两组,各47例.对照组采用常规护理,观察组开展PDCA循环管理.对比两组雾化依从性、病情改善情况、家长健康认知水平及护理满意度.结果观察组雾化依从性为95.74%,高于对照组的80.85%,差异有统计学意义(P<0.05).观察组肺部啰音改善时间(2.99±0.25)d、气喘改善时间(2.73±0.31)d、发热改善时间(2.01±0.22)d、咳嗽改善时间(3.10±0.88)d、咳痰改善时间(3.05±0.43)d均短于对照组的(3.46±0.38)d、(3.52±0.66)d、(2.77±0.49)d、(4.37±0.90)d、(3.85±0.67)d,组间差异有统计学意义(P<0.05).护理前,两组家长健康认知问卷评分比较,差异无统计学意义(P>0.05);护理后,观察组家长健康认知问卷中发病原因评分(23.01±1.36)分、雾化知识评分(23.47±0.67)分、治疗方式评分(20.66±1.14)分、饮食与并发症评分(20.59±1.67)分均高于对照组的(20.22±1.45)分、(20.96±1.86)分、(17.56±2.34)分、(17.01±2.22)分,组间差异有统计学意义(P<0.05).观察组家长护理满意度93.62%,高于对照组的78.72%,差异有统计学意义(P<0.05).结论PDCA循环管理在支气管肺炎患儿雾化吸入治疗中的应用效果显著,能改善家长健康认知,提升患儿雾化依从性,加快病情改善,故家长满意度高.
Objective To investigate the application effect of PDCA circulation management in aerosol inhalation therapy of children with bronchopneumonia.Methods 94 children with bronchopneumonia admitted in our hospital from April 2020 to April 2022 were selected and divided into two groups according to different nursing methods,with 47 cases in each group.The control group received routine nursing,and the observation group received PDCA circulation management.The two groups were compared in terms of aerosol compliance,disease improvement,parents'health awareness level and nursing satisfaction.Results The aerosol compliance in the observation group was 95.74%,which was higher than 80.85%in the control group,the difference was statistically significant(P<0.05).The lung rale improvement time(2.99±0.25)d,asthma improvement time(2.73±0.31)d,fever improvement time(2.01±0.22)d,cough improvement time(3.10±0.88)d and sputum improvement time(3.05±0.43)d in the observation group were shorter than(3.46±0.38)d,(3.52±0.66)d,(2.77±0.49)d,(4.37±0.90)d and(3.85±0.67)d in the control group,with statistically significant differences between the groups(P<0.05).Before nursing,there was no significant difference in the health awareness questionnaire score between the two groups(P>0.05);after nursing,the disease cause score(23.01±1.36)points,atomization knowledge score(23.47±0.67)points,treatment method score(20.66±1.14)points,diet and complications score(20.59±1.67)points in the health awareness questionnaire in the observation group were higher than(20.22±1.45)points,(20.96±1.86)points,(17.56±2.34)points,(17.01±2.22)points in the control group,the difference between groups were statistically significant(P<0.05).The nursing satisfaction of parents in the observation group was 93.62%,higher than 78.72%in the control group,with statistically significant difference(P<0.05).Conclusion PDCA circulation management has a significant effect in the aerosol inhalation treatment of children with bronchopneumonia,which can improve parents'health awareness,enhance children's aerosol compliance,and speed up the improvement of the disease,so the satisfaction of parents is higher.
作者
张晓梅
张爱美
ZHANG Xiaomei;ZHANG Aimei(Static Distribution Center,Qingdao Chengyang District People's Hospital,Qingdao Shandong,266109,China;Department of Pediatrics,Qingdao Chengyang District People's Hospital,Qingdao Shandong,266109,China)
出处
《反射疗法与康复医学》
2022年第21期161-164,共4页
Reflexology And Rehabilitation Medicine
关键词
小儿支气管肺炎
PDCA循环管理
雾化吸入
雾化依从性
护理满意度
Bronchopneumonia in children
PDCA circulation management
Aerosol inhalation
Aerosol compliance
Nursing satisfaction
作者简介
张晓梅(1985-),女,山东青岛人,本科,主管护师,研究方向:儿科护理.
