摘要
目的观察计划-执行-检查-处置(Plan-Do-Check-Act,PDCA)循环法管理在新生儿规范尿标本留取中的临床效果。方法选取2021年10—12月厦门市海沧医院常规管理下出院新生儿尿标本留取情况作为对照组(n=131),分析尿液样本留取失败原因,并制定相应的改进方案;选取2022年1—3月实施PDCA循环法管理下出院新生儿尿标本留取情况作为研究组(n=101)。评价管理前后护理人员新生儿尿标本留取操作技能及理论考核评分,比较2组尿标本留取率。结果管理后,护理人员新生儿尿标本留取操作技能及理论考核评分分别为(96.85±1.26)分、(97.46±1.25)分,高于管理前的(81.37±3.01)分、(82.72±4.27)分(P<0.05)。研究组中尿标本入院72 h及累计尿标本留取率高于对照组,入院96 h尿标本留取率低于对照组(P<0.05)。2组入院24、48 h尿标本留取率比较,差异无统计学意义(P>0.05)。结论在新生儿规范尿标本留取中开展PDCA循环法管理,明确尿标本留取失败的原因,针对原因制定改进措施,可显著提升护理人员在新生儿尿标本留取操作技能及理论掌握能力,并提升尿标本留取率,效果理想。
Objective To observe the clinical effect of Plan-Do-Check-Act(PDCA)circulation management in the standardized urine sample collection of newborns.Methods The urine sample retention of discharged infants under routine management in Haicang Hospital,Xiamen from October to December 2021 was selected as the control group(n=131),the reasons for failure of urine sample retention were analyzed,and corresponding improvement plans were formulated.The retention of urine samples from infants discharged from January to March 2022 under PDCA circulation management was used as the research group(n=101).Evaluate the operational skills and theoretical assessment scores of pre and post management nursing staff in the retention of urine samples from affected infants,and the retention rates of urine samples were compared between the two groups.Results After management,the scores of nursing staff's operation skills and theoretical assessment were(96.85±1.26)points and(97.46±1.25)points,respectively,higher than those before management(81.37±3.01)points and(82.72±4.27)points(P<0.05).The retention rate of urine samples in the study group after 72 h of admission and cumulative urine samples was higher than that in the control group,while the retention rate of urine samples after 96 h of admission was lower than that in the control group(P<0.05).There was no significant difference in the retention rate of urine samples between the two groups at 24 and 48 h of admission(P>0.05).Conclusion Under the management of PDCA circulation method in standardized urine sample collection for newborns with pediatric patients,identifying the reasons for failure in urine sample collection and developing improvement measures based on the reasons can significantly improve nursing staff's operational skills and theoretical mastery ability in urine sample collection from affected infants,and increase the rate of urine sample collection.The effect is ideal.
作者
廖玉萍
叶荣萍
黄凤婷
LIAO Yuping;YE Rongping;HUANG Fengting(Department of Neonatology,Haicang Hospital,Xiamen,Xiamen Fujian 361000,China)
出处
《中国卫生标准管理》
2024年第12期22-25,共4页
China Health Standard Management
关键词
PDCA循环法
新生儿
规范尿标本留取
操作技能
理论考核
管理效果
PDCA cycle method
newborns
standardize the retention and collection of urine specimens
operational skills
theoretical assessment
management effect
