摘要
目的:观察在小儿支气管肺炎治疗中应用PDCA循环管理模式对患儿预后改善所产生的影响。方法:通过随机数表法将支气管肺炎患儿138例分成两组,对照组(n=69)患儿应用为常规护理干预,观察组(n=69)患儿应用PDCA循环管理模式,比较患儿预后情况。结果:与对照组相比,观察组患儿临床症状消失时间与住院时间均更短(P<0.05)。干预前患儿各项肺功能指标水平组间比较差异无统计学意义(P>0.05),干预后观察组患儿用力肺活量(FVC)、第一秒用力呼气容量(FEV1)、第一秒用力呼气容量占所有呼气容量比值(FEV1/FVC)与呼气峰值流速(PEF)值均更高(P<0.05)。干预前两组患者各项血气指标水平对比均不存在统计学意义(P>0.05),干预后观察组动脉血二氧化碳分压(PaCO2)水平更低,动脉血氧分压(PaO2)水平及氧合指数(PaO2/FiO2)值更高(P<0.05)。观察组并发症总发生率显著更低(P<0.05)。结论:小儿支气管肺炎治疗过程中采用PDCA循环管理模式可促进患儿肺功能及血气指标改善,加快临床症状与病情缓解并减少并发症。
Objective:To observe the impact of applying PDCA circulation management mode in the treatment of pediatric bronchopneumonia on the improvement of prognosis in children.Method:138 children with bronchopneumonia were divided into two groups by random number table method.The control group(n=69)was treated with routine nursing intervention,while the observation group(n=69)was treated with PDCA circulation management mode to compare the prognosis of the children.Result:Compared with the control group,the observation group had shorter clinical symptom disappearance time and hospitalization time(P<0.05).Before the intervention,there was no statistical difference in the levels of various pulmonary function indicators among the groups(P>0.05).After the intervention,the forced vital capacity(FVC),forced expiratory volume in the first second(FEV1),forced expiratory volume in the first second(FEV1/FVC)and peak expiratory flow rate(PEF)of the children in the observation group were higher(P<0.05).Before the intervention,there was no statistical significance in the comparison of the levels of blood gas indicators between the two groups(P>0.05).After the intervention,the level of arterial blood partial pressure of carbon dioxide(PaCO2)was lower in the observation group,and the levels of arterial partial pressure of oxygen(PaO2)and oxygenation index(PaO2/FiO2)were higher(P<0.05).The total incidence of complications in the observation group was significantly lower(P<0.05).Conclusion:The use of PDCA circulation management mode during the treatment of pediatric bronchopneumonia can promote the improvement of lung function and blood gas indicators,accelerate clinical symptoms and disease relief,and reduce complications.
出处
《黑龙江中医药》
2023年第4期82-84,共3页
Heilongjiang Journal of Traditional Chinese Medicine
关键词
小儿支气管肺炎
PDCA循环管理模式
临床症状
肺功能
血气指标
并发症
pediatric bronchopneumonia
PDCA cycle management mode
Clinical symptoms
Lung function
Blood gas indicators
complication
