The Effect of PDCA Circulation on Improving The Up-to-Standard Rate of Wearing Time Length in OSAHS Patients with Non-Invasive Ventilator

Abstract

Purpose: To investigate the clinical effect of PDCA（Plan-Do-Check-Act） circulation mode in patients with obstructive sleep apnea hypopnea syndrome (OSAHS) using continuous positive air way pressure (CPAP) ventilator. Methods: 83 patients with OSAHS who were treated in the department of otorhinolaryngology head and neck surgery were randomly divided into PDCA group (n = 41) and control group (n = 42). The nursing outcomes of the two groups were compared. Result: The rate of reaching the standard wearing time length of non-invasive ventilator in the PDCA group was 80.49%, which was significantly higher than that in the control group (35.71%), and the difference was statistically significant (χ2=17.005, P<0.05). The compliance rate of patients in the PDCA group (90.24%) was higher than that in the control group (73.80%), and the difference was statistically significant (Z= 2.571, P<0.05). The incidence of adverse reactions in the PDCA group was 19.51% lower than that in the control group (64.29%), and the difference was statistically significant (χ2=17.005, P<0.05). The score of fatigue in the PDCA group (4.17 ±1.223) was significantly lower than that in the control group (6.45 ±0.803). Conclusion: PDCA circulation nursing model can effectively improve the up-to-standard rate of time length of patients wearing non-invasive ventilator, reduce the incidence of adverse reactions, improve patient compliance and reduce patient fatigue, which is worthy of clinical promotion. Key words: PDCA circulation nursing model; the up-to-standard rate of time length of non-invasive ventilator; compliance; incidence of adverse reactions; fatigue degree.