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目的:探讨PDCA循环管理在哮喘患者吸入治疗中开展的效果,提高护理质量。方法:成立PDCA循环管理小组,分析2014年前哮喘吸入治疗中存在的问题,于2014年实施PDCA循环管理,制定管理方案及流程。拟定PDCA循环中的评价指标,包括护理人员吸入治疗相关理论知识和吸入操作技能、患者依从性及吸入正确率、患者满意度。结果:实施PDCA循环管理1年后,护理人员吸入治疗相关理论知识和吸入操作技能均有显著提高,评分显著高于实施前(P<0.05);患者吸入治疗依从性及吸入正确率均显著高于实施前(P<0.05),患者满意度评分差异具有显著意义(P<0.05)。结论:PDCA循环管理的实施,使护理工作更加系统、规范化,增强了护理人员的责任心和团队协作能力,提高了哮喘患者吸入治疗的依从性,改善了临床结果,提高了患者满意度。
Objective: To investigate the effect of PDCA cycle management in inhalation therapy for asthma patients and to improve the quality of nursing care. Methods: The PDCA cycle management team was set up to analyze the problems in asthma inhalation treatment before 2014. The PDCA cycle management was implemented in 2014 to formulate management plans and procedures. Assessment indicators in the PDCA cycle were developed, including theoretical knowledge of inhalation therapy and nursing skills of inhabitants, patient compliance, correct rate of inhalation, and patient satisfaction. Results: One year after the implementation of PDCA cycle management, nurses ’theoretical knowledge of inhaled treatment and skills of inhalation operation were significantly improved, and the score was significantly higher than that before implementation (P <0.05). The patients’ compliance with inhalation therapy and inhalation accuracy were significantly higher Before implementation (P <0.05), there was significant difference in patient satisfaction score (P <0.05). Conclusion: The implementation of PDCA cycle management makes the nursing work more systematic and standardized, enhances the sense of responsibility and teamwork ability of nurses, improves the compliance of inhaled treatment of asthma patients, improves clinical results and improves patient satisfaction.