摘要
目的:分析PDCA管理模式对新生儿院内感染发生的控制效果,对护理质量的提高作用。方法:选取2015年3月-2016年10月期间本院新生儿病房收治的120名新生儿和100名全体护理人员作为研究对象。其中2015年3-12月期间收治的60名新生儿设置为常规护理组(医院未开展PDCA循环管理模式);2016年1-10月期间收治的另外60名新生儿设置为PDCA护理组。比较分析两组新生儿的基本资料、护理效果以及医院感染发生情况,PDCA管理模式实施前后全体护理人员操作规范程度。结果:PDCA护理组新生儿家属对新生儿院感疾病的认知度和护理满意度均明显高于常规护理组,差异均有统计学意义(x^2=9.09、17.25,P=0.00、0.00);护理人员用药失误情况明显低于常规护理组,差异有统计学意义(x^2=8.54,P=0.00)。PDCA管理实施后,护理人员手卫生执行、院感知识知晓、隔离医治合格、医疗废物处置合格、防护用品使用和医疗用具专用率明显高于实施前,差异均有统计学意义(P<0.05)。两组新生儿院内感染发生情况比较,差异有统计学意义(x^2=4.68,P=0.03)。结论:PDCA管理模式应用于新生儿病房,能有效降低新生儿院感的发生率,提升护理质量和护理人员的操作规范性,值得临床推广使用。
Objective：To analyze the control effect of PDCA management model on neonatal nosocomial infection and improvement of nursing quality.Method：A total of 120 newborns admitted from March 2015 to October 2016 in the neonatal ward of our hospital and 100 nursing staff were selected as the study objects.Among them, 60 newborns admitted between March and December 2015 were set up as routine nursing group（the hospital did not carry out PDCA circulation management model）;another 60 newborns admitted between January and October 2016 were set up as PDCA nursing group.The basic data,nursing effect and the occurrence of nosocomial infection of the newborns in the two groups and all nursing staff operating standard degree before and after implementation of PDCA management model were compared and anlayzed. Result：The degree of recognition to neonatal nosocomial diseases and nursing satisfaction of neonate family members in the PDCA nursing group were significantly higher than those in routine nursing group,the differences were statistically significant（ χ2=9.09,17.25;P=0.00、0.00）.The medical errors of nursing staff was significantly lower than that of routine nursing group,the difference was statistically significant（ χ2=8.54,P=0.00）.After implementation of PDCA management,the rate of implementation of hand hygiene,knowledge of nosocomial infection,isolation and treatment qualified,medical waste disposal,protective equipment utilization and medical appliances were significantly higher than those before implementation,the differences were statistically significant（P〈0.05）.The incidence of nosocomial infection was compared between the two groups,the difference was statistically significant（ x^2=4.68,P=0.03）.Conclusion：The application of PDCA management model used in neonatal wards can effectively reduce the incidence of neonatal nosocomial infection,improve the quality of nursing and operational norms of nursing staff,which is worthy of clinical aoolication.
作者
郭少霞
GUO Shaoxia(Fifth Hospital Affiliated to Guangzhou Medical University,Guangzhou 510700,China)
出处
《中国医学创新》
CAS
2018年第21期73-76,共4页
Medical Innovation of China
