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目的探讨PDCA管理对呼吸机支持治疗患者床头抬高30°执行率的影响。方法选取本科室于2016年1月-12月收治的102例采用呼吸机支持治疗的患者为观察组,采用PDCA管理抬高床头30°的执行率。选取本科室于2015年1月-12月收治的110例采用呼吸机支持治疗的患者为对照组,实施常规护理。比较两组床头抬高30°的执行率、呼吸机的使用时间、VAP的发生率以及呼吸机使用期间的生理指标情况。结果观察组的床头抬高30°的执行率高于对照组,呼吸机使用时间少于对照组,VAP的发生率低于对照组,差异有统计学意义(P<0.05)。观察组通气72 h的RR、HR、PaO_2高于对照组,但差异无统计学意义(P>0.05)。结论PDCA循环管理能够提高呼吸机支持治疗患者床头抬高30°的执行率,减少VAP的发生。
Objective To investigate the effect of PDCA management on the rate of head-up elevation of 30 ° in ventilator-supported patients. Methods A total of 102 patients undergoing ventilator support in our department from January to December 2016 were selected as the observation group. PDCA was used to manage the elevation of the head of the bed by 30 °. One hundred and ten patients treated with ventilator in our department from January to December in 2015 were selected as control group and received routine nursing care. Comparing the two groups of bed elevation 30 ° implementation rate, the use of ventilator time, the incidence of VAP and ventilator during use of physiological indicators. Results The rate of bed elevation 30 ° in the observation group was higher than that of the control group. The duration of ventilator use was less than that of the control group. The incidence of VAP was lower than that of the control group (P <0.05). The RR, HR and PaO_2 in the observation group at 72 h were higher than those in the control group, but the difference was not statistically significant (P> 0.05). Conclusions PDCA cycle management can improve the rate of bedside elevation 30 ° and reduce the incidence of VAP in patients receiving ventilator supportive therapy.