Application of continuous quality improvement method in respiratory functional exercise in patients with COPD
10.3760/j.issn.1674-2907.2014.08.017
- VernacularTitle:持续质量改进方法在 COPD 患者呼吸功能锻炼中的应用
- Author:
Zaiying YANG
1
;
Jinjun ZHU
;
Danxia HONG
Author Information
1. 314000 浙江省嘉兴市第二医院呼吸科
- Keywords:
Continuous quality improvement;
COPD;
Respiratory functional exercise;
Compliance
- From:
Chinese Journal of Modern Nursing
2014;20(8):908-910
- CountryChina
- Language:Chinese
-
Abstract:
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 .