品管圈活动在脑卒中伴吞咽障碍呼吸训练中的应用  

The application of quality improvement activities in improving the rate of respiratory training in stroke patients with dysphagia

作　　者：孙礼艾 汪澄 庞海云 周静[1] SUN Li-ai;WANG Cheng;PANG Hai-yun(The First Affiliated Hospital of USTC,Hefei 230036,Anhui)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院),安徽合肥230036

出　　处：《安徽卫生职业技术学院学报》2020年第6期145-146,148,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨品质改善活动在提高脑卒中伴吞咽障碍患者呼吸训练执行率中的作用。方法:回顾性分析实施品质改善活动前在住院的58例患者入选作为对照组,选取实施品质改善活动期间符合标准的61例患者作为观察组,对两组患者呼吸训练执行率、吞咽障碍改善程度和吸入性肺炎发生率进行评估。结果:通过品质改善活动,呼吸训练执行率由49.21%提高至84.64%;两组患者吞咽功能改善总有效率差异有统计学意义(P<0.05);两组患者吸入性肺炎发生率差异有统计学意义(P<0.05)。结论:通过品质改善活动可提高脑卒中伴吞咽障碍患者呼吸训练执行率,同时也改善了吞咽功能并降低了吸入性肺炎的发生率。Objective:Quality improvement activities were applied to improve the execution rate of respiratory training in stroke patients with dysphagia.Methods:Retrospective analysis before the implementation of quality improvement activities hospitalized in our department of 58 patients with swallowing disorder after stroke,as control group,the implementation of quality improvement activities conforms to the standard 61 cases as trial group,Both groups were routinely treated with drugs to improve brain circulation,nutrition and nerves,and were given functional training in swallowing and ingestion.The control group was given respiratory training once a day,and the trial group was given respiratory function training three times a day on the basis of the intervention of the control group.The execution rate of respiratory training,the improvement degree of swallowing disorder and the incidence rate of aspiration pneumonia in the two groups were evaluated.Results:Through quality improvement activities,the execution rate of respiratory training increased from 49.21%to 84.64%,The total effective rate for improvement of swallowing function in the two groups,respectively,with statistically significant difference between the two groups(P<0.05).The incidence of aspiration pneumonia in the two groups,respectively,with statistically significant difference(P<0.05).Conclusion:Quality improvement activities can improve the rate of respiratory training in stroke patients with dysphagia,also improved swallowing function and reduced the incidence of aspiration pneumonia.

关 键 词：品质改善 脑卒中 吞咽障碍 呼吸训练 吞咽功能 

分 类 号：R473.74[医药卫生—护理学]