PDCA循环护理在改善小儿支原体肺炎患儿临床指标及不良反应中的效果  

Effects of PDCA cycle nursing in improving the clinical indicators and adverse reactions of children with mycoplasma pneumonia

作　　者：孙亚军[1] 闫敏[1] 赵振英 邢志 Sun Yajun;Yan Min;Zhao Zhenying;Xing Zhi(Pediatrics Department,the Second People's Hospital of Liaocheng,Liaocheng 252600,China)

机构地区：[1]聊城市第二人民医院小儿科,聊城252600

出　　处：《国际护理学杂志》2024年第7期1243-1246,共4页international journal of nursing

摘　　要：目的分析计划-实施-检查-处理(Plan-Do-Check-Action,PDCA)循环护理在改善小儿支原体肺炎患儿临床指标及不良反应中的效果。方法回顾性分析聊城市第二人民医院2021年1月至2022年1月收治的支原体肺炎患儿164例的临床资料,根据不同护理干预分为常规组80例(常规护理干预)与PDCA组84例(PDCA循环护理干预)。比较两组临床疗效、临床指标(咳嗽消失时间、退热时间、啰音消失时间及住院时间)、不良反应发生率及护理总满意度。结果PDCA组总有效率为92.86%,明显高于常规组的76.25%,差异有统计学意义(P<0.05)。PDCA组咳嗽消失时间、退热时间、啰音消失时间及住院时间均短于常规组,差异均有统计学意义(均P<0.05)。PDCA组不良反应总发生率为7.14%,明显低于常规组的18.75%,差异有统计学意义(P<0.05)。PDCA组护理总满意度为90.48%,明显高于常规组的73.75%,差异有统计学意义(P<0.05)。结论PDCA循环护理可进一步改善小儿支原体肺炎患儿的治疗效果和临床指标,降低不良反应发生率,提高护理满意度。Objective To analyze the effect of Plan-Do-Check-Action(PDCA)cycle nursing in improving the clinical indicators and adverse reactions of children with mycoplasma pneumonia.Methods The clinical data of 164 children with mycoplasma pneumonia admitted to the Second People's Hospital of Liaocheng from January 2021 to January 2022 were retrospectively analyzed.According to different nursing interventions,they were divided into the conventional group(80 cases)and the PDCA group(84 cases).The clinical efficacy,clinical indicators(cough disappearance time,antipyretic time,rale disappearance time and hospitalization time),incidence of adverse reactions and total nursing satisfaction were compared between the two groups.Results The total effective rate of the PDCA group was 92.86%,which was significantly higher than 76.25%of the conventional group,and the difference was statistically significant(P<0.05).The cough disappearance time,antipyretic time,rales disappearance time and hospitalization time in the PDCA group were shorter than those in the conventional group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the PDCA group was 7.14%,which was significantly lower than that in the conventional group 18.75%(P<0.05).The total nursing satisfaction in the PDCA group was 90.48%,which was significantly higher than 73.75%in the conventional group,and the difference was statistically significant(P<0.05).Conclusions PDCA cycle nursing can further improve the treatment effect and clinical indicators of children with mycoplasma pneumonia,reduce the incidence of adverse reactions,and improve nursing satisfaction.

关 键 词：PDCA循环护理 小儿支原体肺炎 不良反应 满意度 

分 类 号：R473.72[医药卫生—护理学]