Efficacy of the PDCA cyclic care model in improving lung function and speed of recovery in children with mycoplasma pneumonia.

IF 1.7 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
American journal of translational research Pub Date : 2025-03-15 eCollection Date: 2025-01-01 DOI:10.62347/IXQM3048
Jing Chen, Luyi Pan, Yindan Qiu, Li Jin
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Abstract

Objective: To explore the effect of Plan-Do-Check-Act (PDCA) cycle nursing on the prognosis of children with mycoplasma pneumonia (MMP).

Methods: Clinical data of 112 children with MMP who were admitted to Hangzhou Ninth People's Hospital from September 2020 to December 2022 were retrospectively analyzed. The children were divided into a control group (56 cases, receiving routine care) and a PDCA group (56 cases, receiving PDCA care) according to nursing interventions. Blood gas analysis, pulmonary function, inflammation levels, clinical treatment, complications, and satisfaction were compared between the two group pre- and post-care.

Results: The results showed that the children in PDCA group experienced a more significant improvement in blood oxygen levels, evidenced by increased PaO2 and SaO2 levels and decreased PaCO2 levels, as well as enhanced lung function. Meanwhile, PDCA care was more effective in reducing interleukin-6, C-reactive protein, and tumor necrosis factor-alpha levels in children. In addition, children in the PDCA group recovered more quickly, with shorter times to temperature normalization, cough improvement, asthma resolution, lung rales disappearance, and hospital stay. Moreover, PDCA nursing effectively reduced the incidence of intrapulmonary and extrapulmonary complications, and improved care quality and patient satisfaction.

Conclusions: The PDCA cycle nursing model significantly improves the prognosis of children with MMP by promoting faster recovery, reducing adverse reactions, and enhancing overall nursing satisfaction. This approach fosters a more harmonious doctor-patient relationship, contributing to better patient outcomes and a more effective care environment.

PDCA循环护理模式对改善肺炎支原体患儿肺功能及康复速度的疗效观察。
目的:探讨计划-做-检查-行动(PDCA)循环护理对儿童肺炎支原体(MMP)预后的影响。方法:回顾性分析杭州市第九人民医院2020年9月至2022年12月收治的112例MMP患儿的临床资料。根据护理干预措施分为对照组(56例,采用常规护理)和PDCA组(56例,采用PDCA护理)。比较两组患者护理前后的血气分析、肺功能、炎症水平、临床治疗、并发症及满意度。结果:PDCA组患儿血氧水平改善更为显著,表现为PaO2、SaO2水平升高,PaCO2水平降低,肺功能增强。同时,PDCA护理在降低儿童白细胞介素-6、c反应蛋白和肿瘤坏死因子- α水平方面更有效。此外,PDCA组患儿恢复更快,体温恢复正常、咳嗽改善、哮喘缓解、肺部啰音消失和住院时间更短。此外,PDCA护理有效降低了肺内和肺外并发症的发生率,提高了护理质量和患者满意度。结论:PDCA循环护理模式可促进MMP患儿更快康复,减少不良反应,提高整体护理满意度,显著改善患儿预后。这种方法促进了更和谐的医患关系,有助于更好的患者结果和更有效的护理环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American journal of translational research
American journal of translational research ONCOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
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