慢阻肺患者持续质量改进肺康复护理的应用效果 Application Effect of Continuous Quality Improvement of Pulmonary Rehabilitation Nursing in Patients with Chronic Obstructive Pulmonary Disease
目的：探索慢阻肺患者持续质量改进在肺康复护理中的应用效果。方法：本研究将2020年2月~2021年8月我院呼吸内科收治的100例慢性阻塞性肺疾病患者作为研究对象。按照随机数字法分为观察组与对照组，每组各50例。对照组行常规护理，观察组行持续质量改进护理，在干预3个月之后，用呼吸困难问卷(mMRC)对比两组患者的呼吸困难症状；用第1秒用力呼气容积(FEV1)、用力肺活量(FVC)以及FEV1/FVC等指标对比两组患者肺功能情况，用圣乔治问卷(SGRQ)对比两组患者生活质量。结果：经过持续质量改进护理干预3个月后，两组患者PEF、FEV1、FEVI/FVC等肺功能指标之间的差异具有统计学意义(P < 0.05)。两组患者圣乔治问卷得分差异具有统计学意义(P < 0.05)。结论：在慢阻肺患者肺康复护理中应用持续质量改进护理模式，可改善患者呼吸困难症状，改善患者肺功能，提升患者生活质量。具有较强临床实用价值，可推广使用。
Objective: To explore the application
effect of continuous quality improvement in pulmonary rehabilitation nursing of
patients with chronic obstructive pulmonary disease. Methods: A total of 100
patients with chronic obstructive pulmonary disease admitted to the department
of Respiratory Medicine of our hospital from February 2020 to August 2021 were
selected as the study subjects. According to the random number method, they
were divided into observation group and control group, 50 cases in each group.
The control group received routine nursing, and the observation group received
continuous quality improvement nursing. After 3 months of intervention, the
dyspnea symptoms of the two groups were compared with the dyspnea questionnaire
(mMRC). Forced expiratory volume in the first second (FEV1), forced vital
capacity (FVC) and FEV1/FVC were used to compare the lung function between the
two groups, and St. George questionnaire (SGRQ) was used to compare the quality
of life between the two groups. Results: After 3 months of continuous quality
improvement nursing intervention, there were statistically significant
differences in PEF, FEV1, FEVI/FVC and other lung function indexes between the
two groups (P < 0.05). The scores of St. George questionnaire were significantly different between the two groups (P < 0.05). Conclusion: The application of continuous quality improvement nursing mode in pulmonary rehabilitation nursing of COPD patients can improve the symptoms of dyspnea, improve the lung function of patients, and improve the quality of life of patients. It has strong clinical practical value and can be popularized.
