Chen Jing, Pan Luyi, Qiu Yindan, Jin Li
Department of Pediatrics, Hangzhou Ninth People's Hospital Hangzhou 311225, Zhejiang, China.
Am J Transl Res. 2025 Mar 15;17(3):1792-1802. doi: 10.62347/IXQM3048. eCollection 2025.
To explore the effect of Plan-Do-Check-Act (PDCA) cycle nursing on the prognosis of children with mycoplasma pneumonia (MMP).
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.
The results showed that the children in PDCA group experienced a more significant improvement in blood oxygen levels, evidenced by increased PaO and SaO levels and decreased PaCO 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.
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.
探讨计划-执行-检查-处理(PDCA)循环护理对支原体肺炎(MMP)患儿预后的影响。
回顾性分析2020年9月至2022年12月在杭州市第九人民医院收治的112例MMP患儿的临床资料。根据护理干预措施将患儿分为对照组(56例,接受常规护理)和PDCA组(56例,接受PDCA护理)。比较两组患儿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。
结果显示,PDCA组患儿的血氧水平有更显著改善,表现为动脉血氧分压(PaO)和动脉血氧饱和度(SaO)升高,动脉血二氧化碳分压(PaCO)降低,同时肺功能增强。此外,PDCA护理在降低患儿白细胞介素-6、C反应蛋白和肿瘤坏死因子-α水平方面更有效。另外,PDCA组患儿恢复更快,体温恢复正常、咳嗽改善、气喘缓解、肺部啰音消失及住院时间缩短。而且,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。
PDCA循环护理模式通过促进更快康复、减少不良反应及提高整体护理满意度,显著改善了MMP患儿的预后。这种方法促进了更和谐的医患关系,有助于更好的患者结局和更有效的护理环境。