摘要
目的探讨品管圈在降低慢性阻塞性肺疾病(COPD)老年患者机械通气并发症发生率中的应用效果。方法选择2014年8月至2016年5月在哈尔滨医科大学第四附属医院诊治的老年COPD患者92例,根据随机分配原则分为观察组与对照组各46例。两组均采用无创机械通气治疗,治疗观察时间为1个月,在治疗期间,对照组开展传统护理,而观察组不仅开展传统护理,还开展品管圈护理干预,记录两组预后情况。结果治疗期间观察组与对照组的依从性评分分别为(14.09±1.33)分和(10.34±1.21)分,观察组明显高于对照组(t=4.291,P<0.05)。观察组与对照组治疗期间的呼吸机相关肺炎发生率分别为2.2%和13.0%,观察组的呼吸机相关肺炎明显少于对照组(P<0.05)。治疗后观察组与对照组的FEV1值分别为49.14%±3.89%和45.29%±4.14%,都明显高于治疗前的41.44%±5.02%和41.40%±4.11%(P<0.05),治疗后观察组的FEV1值也明显高于对照组(P<0.05)。经过治疗,在一般健康、机体疼痛、躯体功能等方面的评分,观察组比对照组明显要高(P<0.05)。结论品管圈在降低COPD老年患者机械通气中的应用能减少呼吸机相关肺炎并发症发生,提高治疗依从性,改善肺功能,从而有利于生活质量的提高。
Objective To explore the application effects of quality control circle in reducing the incidence of complications of mechanical ventilation in elderly patients with chronic obstructive pulmonary disease（COPD）.Methods From August 2014 to May2016,92 elderly patients with COPD in our hospital were selected and were divided into observation group and control group with46 patients in each group accorded to the principle of randomly.Two groups were treated with noninvasive mechanical ventilation treatment,the treatment times were 1months,the control group was received routine nursing during the treatment,the observation group was given quality control the circle of nursing intervention based on the control group,recorded prognosis of the two groups.Results The compliance scores of the observation group and the control group were 14.09±1.33 points and 10.34±1.21 points respectively,and the observation group was significantly higher than that of the control group（t=4.291,P0.05）.The incidence of ventilator associated pneumonia in the observation group and the control group were 2.2% and 13.0%,respectively,and the observation group was significantly less than the control group（P0.05）.After treatment,the FEV1 values in the observation group and the control group were（49.14±3.89）% and（45.29±4.14）% that were significantly higher than those before treatment of（41.44±5.02）% and（41.40±4.11）%（P0.05）,the FEV1 value in the observation group after treatment was higher than the control group（P0.05）.After treatment,the scores of physical function,body function,body pain and general health of the observation group were significantly higher than those of the control group（P0.05）.Conclusion Quality control circle can reduce ventilator-associated pneumonia complications in elderly patients with lower application of COPD,and it can improve treatment compliance,improve lung function,which is conducive to improving the quality of life.
出处
《检验医学与临床》
CAS
2017年第18期2664-2666,共3页
Laboratory Medicine and Clinic
基金
黑龙江省卫生厅科研课题(2009-132)
关键词
品管圈
慢性阻塞肺疾病
老年人
机械通气
并发症
Quality control circle
chronic obstructive pulmonary disease
aged
mechanical ventilation
complication
