检验医学与临床2017，Vol.14Issue(18)：2664-2666,3.DOI:10.3969/j.issn.1672-9455.2017.18.004
品管圈在降低慢性阻塞性肺疾病老年患者机械通气并发症发生率中的应用
Application of quality control circle in reducing the incidence of complications of mechanical ventilation in elderly patients with chronic obstructive pulmonary disease
摘要
Abstract
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 May 2016,92 elderly patients with COPD in our hospital were selected and were divided into observation group and control group with 46 patients in each group accorded to the principle of randomly.Two groups were treated with noninvasive mechanical ventilation treatment,the treatment times were 1 months,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,P＜0.05).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 (P＜0.05).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)％ (P＜0.05),the FEV1 value in the observation group after treatment was higher than the control group (P＜0.05).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 (P＜0.05).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.关键词
品管圈/慢性阻塞肺疾病/老年人/机械通气/并发症Key words
Quality control circle/chronic obstructive pulmonary disease/aged/mechanical ventilation/complication引用本文复制引用
孔令霞,王宏伟..品管圈在降低慢性阻塞性肺疾病老年患者机械通气并发症发生率中的应用[J].检验医学与临床,2017,14(18):2664-2666,3.基金项目
黑龙江省卫生厅科研课题(2009-132). （2009-132）
