PDCA循环联合呼吸肌功能锻炼对COPD患者呼吸功能及护理满意度的影响  

Effect of PDCA Cycle Combined with Respiratory Muscle Function Exercise on Respiratory Function and Nursing Satisfaction of COPD Patients

作　　者：黄海燕 HUANG Haiyan(Department of Internal Medicine,Guangxin District Blood Control Station,Shangrao 334100,Jiangxi,China)

机构地区：[1]上饶市广信区血防站内科,江西上饶334100

出　　处：《医学信息》2025年第8期156-159,共4页Journal of Medical Information

摘　　要：目的 研究PDCA循环联合呼吸肌功能锻炼对慢性阻塞性肺疾病(COPD)患者呼吸功能及护理满意度的影响。方法 选取2021年1月-2023年3月上饶市广信区血防站收治的60例COPD患者,行随机数字表法分为对照组与观察组,各30例。对照组开展呼吸肌功能锻炼,观察组则应用PDCA循环联合呼吸肌功能锻炼,比较两组护理依从性、呼吸功能[肺活量(VC)、每分钟最大通气量(MVV)、呼气峰值流量(PEF)]、COPD评估测试(CAT)评分、圣乔治医院呼吸问题调查问卷(SGRQ)评分、护理满意度。结果 与对照组护理依从优良率的63.33%比较,观察组护理依从优良率更高,达86.67%(P<0.05);与干预前比较,两组干预后VC、MVV、PEF指标升高,CAT、SGRQ评分降低,且与对照组比较,观察组干预后VC、MVV、PEF更高,CAT、SGRQ评分更低(P<0.05);与对照组护理满意度的86.67%比较,观察组护理满意度更高,达100.00%(P<0.05)。结论 PDCA循环联合呼吸肌功能锻炼可提高COPD患者的护理依从性,改善其呼吸功能,减轻疾病症状,具有较高的护理满意度。Objective To study the effect of PDCA cycle combined with respiratory muscle function exercise on respiratory function and nursing satisfaction in patients with chronic obstructive pulmonary disease(COPD).Methods From January 2021 to March 2023,60 patients with COPD admitted to the Guangxin District Blood Control Station,Shangrao City were randomly divided into control group and observation group,with 30patients in each group.The control group was given respiratory muscle function exercise,while the observation group was given PDCA cycle combined with respiratory muscle function exercise.The nursing compliance,respiratory function [vital capacity(VC),maximum ventilation volume per minute(MVV),peak expiratory flow(PEF)],COPD assessment test(CAT) score,St.George's hospital respiratory questionnaire(SGRQ) score and nursing satisfaction were compared between the two groups.Results Compared with 63.33% of the excellent and good rate of nursing compliance in the control group,the excellent and good rate of nursing compliance in the observation group was higher,reaching 86.67%( P <0.05).Compared with before intervention,the VC,MVV and PEF indexes of the two groups increased,and the CAT and SGRQ scores decreased after intervention,while compared with the control group,the VC,MVV and PEF of the observation group were higher,and the CAT and SGRQ scores were lower after intervention(P<0.05).Compared with 86.67% of the control group,the nursing satisfaction of the observation group was higher,reaching 100.00%( P<0.05).Conclusion PDCA cycle combined with respiratory muscle function exercise can improve the nursing compliance of COPD patients,improve their respiratory function,reduce the symptoms of the disease,and have higher nursing satisfaction.

关 键 词：慢性阻塞性肺疾病 PDCA循环 呼吸肌功能锻炼 呼吸功能 护理满意度 护理依从性 

分 类 号：R473[医药卫生—护理学]