首页|FOCUS-PDCA模式护理干预在慢性阻塞性肺疾病患者中的应用效果

FOCUS-PDCA模式护理干预在慢性阻塞性肺疾病患者中的应用效果

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目的:探讨FOCUS-PDCA模式护理干预对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者呼吸功能、生活质量及预防肺部感染的影响。方法:选取 2021 年 3 月—2022 年 3 月南平市建阳第一医院呼吸内科收治的 106 例COPD患者作为研究对象,采用随机数表法将其分为对照组(n=53,接受常规护理干预)与观察组(n=53,接受FOCUS-PDCA模式护理干预)。比较两组干预前后血气指标[肺泡氧分压(alveolar oxygen partial pressure,PaO2)、动脉血氧饱和度(arterial oxygen saturation,SaO2)、二氧化碳分压(partial pressure of carbon dioxide,PaCO2)]、呼吸功能指标[用力肺活量(forced vital capacity,FVC)、第 1 秒用力呼气容积(forced expiratory volume in one second,FEV1)和FEV1/FVC%],干预后采用COPD评估测试量表(COPD assessment test,CAT)评估两组生活质量及干预过程肺部感染发生情况。结果:干预后,两组PaO2、SaO2、FVC、FEV1、FEV1/FVC%较干预前升高,PaCO2 较干预前降低,且观察组PaO2、SaO2、FVC、FEV1、FEV1/FVC%高于对照组,PaCO2 低于对照组,差异有统计学意义(P<0。05)。观察组干预后CAT评分优于对照组,干预过程肺部感染率低于对照组,差异有统计学意义(P<0。05)。结论:FOCUS-PDCA模式护理干预能显著改善COPD患者的呼吸功能和生活质量,并有效降低肺部感染率。
Application Effect of FOCUS-PDCA Model Nursing Intervention in Patients with Chronic Obstructive Pulmonary Disease
Objective:To explore the effects of the FOCUS-PDCA model nursing intervention on respiratory function,quality of life,and infection prevention in patients with chronic obstructive pulmonary disease(COPD).Method:A total of 106 patients with COPD who admitted to the Department of Respiratory Medicine of Jianyang First Hospital in Nanping City from March 2021 to March 2022 were selected as the research objects,they were divided into the control group(n=53,receiving routine nursing intervention)and the observation group(n=53,receiving FOCUS-PDCA mode nursing intervention)by random number table method.The blood gas indexes[alveolar oxygen partial pressure(PaO2),arterial oxygen saturation(SaO2),partial pressure of carbon dioxide(PaCO2)],respiratory function indexes[forced vital capacity(FVC),forced expiratory volume in one second(FEV1)and FEV1/FVC%]before and after intervention were compared between two groups,the COPD assessment test(CAT)after intervention was used to evaluate the quality of life of two groups and the incidence of pulmonary infection during intervention.Result:After intervention,the PaO2,SaO2,FVC,FEV1,FEV1/FVC%of the two groups were higher than those before intervention,PaCO2 of the two groups were lower than those before intervention,and the PaO2,SaO2,FVC,FEV1,FEV1/FVC%of the observation group were higher than those of the control group,PaCO2 was lower than that of the control group,the differences were statistically significant(P<0.05).The CAT score of the observation group after intervention was better than that of the control group,and the rate of pulmonary infection during intervention was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:FOCUS-PDCA mode nursing intervention can significantly improve the respiratory function and quality of life of COPD patients,and effectively reduce the rate of pulmonary infection.

Chronic obstructive pulmonary diseaseFOCUS-PDCA modelRespiratory functionQuality of lifeInfection prevention

洪卫英、陈丹、王森英

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南平市建阳第一医院 福建 南平 354200

慢性阻塞性肺疾病 FOCUS-PDCA模式 呼吸功能 生活质量 感染预防

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(14)
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