中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
8期
908-910
,共3页
持续质量改进%COPD%呼吸功能锻炼%依从性
持續質量改進%COPD%呼吸功能鍛煉%依從性
지속질량개진%COPD%호흡공능단련%의종성
Continuous quality improvement%COPD%Respiratory functional exercise%Compliance
目的：通过持续质量改进措施（ CQI ）提高COPD患者呼吸功能锻炼的依从性。方法对实施CQI前护士对COPD患者健康宣教的现状进行分析，找出存在的问题，确定改进目标，制订COPD患者呼吸功能锻炼的护理对策并实施，比较改进前后护士对COPD患者的健康宣教率、床边操作示范落实率、患者对呼吸功能锻炼的依从性，评价改进效果。结果 CQI改进前后护士对患者的健康宣教率由59.3％提高到100.0％，床边操作示范落实率由56.1％提高到98.5％，改进前后比较差异有统计学意义（χ2值分别为125.22，124.82；P＜0.01）；患者对呼吸功能锻炼的依从性明显提高，缩唇呼吸由43.2％提高到100.0％，腹式呼吸由35.1％提高到95.0％，呼吸操由4.6％提高到35.0％，改进前后比较差异有统计学意义（χ2值分别为193.99，192.14，71.61；P＜0.01）。结论遵循CQI原则有助于实现护理质量的优效管理，提高COPD患者呼吸功能锻炼的依从性。
目的：通過持續質量改進措施（ CQI ）提高COPD患者呼吸功能鍛煉的依從性。方法對實施CQI前護士對COPD患者健康宣教的現狀進行分析，找齣存在的問題，確定改進目標，製訂COPD患者呼吸功能鍛煉的護理對策併實施，比較改進前後護士對COPD患者的健康宣教率、床邊操作示範落實率、患者對呼吸功能鍛煉的依從性，評價改進效果。結果 CQI改進前後護士對患者的健康宣教率由59.3％提高到100.0％，床邊操作示範落實率由56.1％提高到98.5％，改進前後比較差異有統計學意義（χ2值分彆為125.22，124.82；P＜0.01）；患者對呼吸功能鍛煉的依從性明顯提高，縮脣呼吸由43.2％提高到100.0％，腹式呼吸由35.1％提高到95.0％，呼吸操由4.6％提高到35.0％，改進前後比較差異有統計學意義（χ2值分彆為193.99，192.14，71.61；P＜0.01）。結論遵循CQI原則有助于實現護理質量的優效管理，提高COPD患者呼吸功能鍛煉的依從性。
목적：통과지속질량개진조시（ CQI ）제고COPD환자호흡공능단련적의종성。방법대실시CQI전호사대COPD환자건강선교적현상진행분석，조출존재적문제，학정개진목표，제정COPD환자호흡공능단련적호리대책병실시，비교개진전후호사대COPD환자적건강선교솔、상변조작시범락실솔、환자대호흡공능단련적의종성，평개개진효과。결과 CQI개진전후호사대환자적건강선교솔유59.3％제고도100.0％，상변조작시범락실솔유56.1％제고도98.5％，개진전후비교차이유통계학의의（χ2치분별위125.22，124.82；P＜0.01）；환자대호흡공능단련적의종성명현제고，축진호흡유43.2％제고도100.0％，복식호흡유35.1％제고도95.0％，호흡조유4.6％제고도35.0％，개진전후비교차이유통계학의의（χ2치분별위193.99，192.14，71.61；P＜0.01）。결론준순CQI원칙유조우실현호리질량적우효관리，제고COPD환자호흡공능단련적의종성。
Objective To improve the compliance of respiratory functional exercise in patients with COPD by continuous quality improvement ( CQI ) .Methods The status of health education before CQI was analyzed, problems were identified, objective of improvement was determined , nursing countermeasures for respiratory functional exercise were formulated and implemented .The rate of health education , implementation of the bedside demo and compliance of respiratory functional exercise were compared before and after improvement , and the effect was evaluated .Results The rate health education increased from 59.3%to 100%after CQI, the rate of bedside demo implementation improved from 56.1%to 98.5%, and the differences were statistically significant (χ2 =125.22 , 124.82 , respectively;P <0.01 ) . The compliance of respiratory functional exercise also improved .The lip breathing promoted from 43.2% to 100%, the abdominal breathing promoted from 35.1%to 95%, the breathing exercises promoted from 4.6%to 35%, and the differences were statistically significant (χ2 =193.99 , 192.14 , 71.61 , respectively;P <0.01 ) .Conclusions Following the principles of CQI is helpful to realize the effective management of nursing quality and improve the compliance of respiratory functional exercise in COPD patients .
