[目的]探讨PDCA管理模式在鼻塞式持续正压通气(CPAP)治疗重症肺炎患儿临床护理中的应用.[方法]选取本病区收治的120例行鼻塞式CPAP治疗的重症肺炎患儿,根据入院时间分为对照组及观察组各60例,比较两组惠儿治疗前后血气指标改善情况,记录两组患儿治疗依从性、有效率、并发症发生率、家属满意率情况.[结果]观察组患儿干预后pH值、动脉血氧分压(PaO2)、血氧饱和度(SaO2)水平明显高于对照组(P＜0.05),而二氧化碳分压(PaCO2)水平低于对照组(P＜0.05).观察组患儿治疗依从性、有效率、家属满意率均高于对照组(P＜0.05),而患儿并发症发生率、风险事件发生率低于对照组(P＜0.05).[结论]PDCA管理模式能有效提高肺炎鼻塞式CPAP患儿治疗依从性及治疗效果,改善患儿气血指标,有利于患儿预后,提高患儿家属满意率.

Objective: To study the effects of Quality Control Circle (QCC) management tools on improving the rate of wristband wearing in pediatricc units. Methods: Firstly, we established QCC group. Secondly, we performed QCC steps. Finally, we compared the situations before and after the implementation of QCC by quality management tools. Results: In pediatric units, the defect rate of wristband wearing was 89.2% before the implementation of QCC. However, the rate reduced to 34.4% after the implementation of QCC. Conclusion: It can improve the compliance and rate ofwristband wearing of children by QCC quality tools. Meanwhile, it can protect medical safety, improve the satisfactions of patients, and increase the abilities of member of QCC group to solvethe clinical problems. This method should be promoted in pediatric units.

<正>随着医学模式的转变,儿科护理已由单纯的疾病护理发展为以儿童及其家庭为中心的身心整体护理。系统化整体护理是目前护理工作的工作模式,它是以现代护理观为指导,以护理程序为框架,根据患者个人的身心、社会、文化需求,为其提供全面优质服务。