早产儿在住院过程中运用PDCA循环法的应用研究
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摘要
目的探讨在早产儿住院过程的护理中PDCA循环法的应用效果。方法选取2016年1月～2018年6月于我院收治的120例早产儿作为研究对象,随机分为观察组和对照组各60例。给予对照组常规护理和系统性的健康教育,在常规护理和健康教育的基础上,给予观察组PDCA循环式护理方法,包括P(现状调查)、D(实施计划)、C(效果评估)、A(结果标准化),观察早产儿住院过程中的感染率、出院后的再住院率,观察家属的喂养技能、卫生保健技能、皮肤护理技能、紧急问题处理技能改善情况。结果观察组住院过程中的感染率、出院后再住院率均明显低于对照组。在护理人员指导下,家属的喂养技能、卫生保健技能、皮肤护理技能、紧急问题处理技能均明显高于对照组,差异有统计学意义(P <0.05)。早产儿住院期间现况调查中,家属对治疗方案关注的问题最多,占33%,对护理问题关注的最少,占8%。结论在早产儿患儿住院过程的护理中运用PDCA循环法能够有效降低早产儿产后感染率和再住院率,加强家属对早产儿护理知识技能的掌握,值得在临床上运用与推广。
Objective To explore the effect of application of PDCA circulation method in nursing of premature infantsduring hospitalization. Methods 120 premature infantswho were admitted and treated in our hospital from January 2016 to June 2018 were selected as research subjects.They were randomly divided into observation group and control group,with 60 cases in each group.The control group was given routine nursing and systematic health education.On basis of it,the observation group was given PDCA circulation method,including P(plan),D(do),C(check) and A(act).The infection rate andre-hospitalization rate after discharge of premature infants during hospitalizationwere observed.The improvement of feeding skills,health care skills,skin care skills and skills ofsoling emergency problem of the family members were also observed. Results The infection rate and re-hospitalization rate during hospitalization of the observation group were significantly lower than those in the control group.Under the guidance of nurses,the feeding skills,health care skills,skin care skills and skills of soling emergency problemof family members were significantly higher than those of the control group.The difference was statistically significant(P < 0.05).In the investigation of the current situation of premature infants during hospitalization,the family members paid the most attention to the treatment plan,accounting for 33%,and the least attention to the nursing problem,accounting for 8%. Conclusion The PDCA circulation method in nursing of premature infants during hospitalization can reduce the postpartum infection rate and re-hospitalization rate of premature infantsand strengthen the family members' knowledge of the nursing knowledge and skills of premature infants,which is worthy of clinical application and promotion.
Objective To explore the effect of application of PDCA circulation method in nursing of premature infantsduring hospitalization. Methods 120 premature infantswho were admitted and treated in our hospital from January 2016 to June 2018 were selected as research subjects.They were randomly divided into observation group and control group,with 60 cases in each group.The control group was given routine nursing and systematic health education.On basis of it,the observation group was given PDCA circulation method,including P(plan),D(do),C(check) and A(act).The infection rate andre-hospitalization rate after discharge of premature infants during hospitalizationwere observed.The improvement of feeding skills,health care skills,skin care skills and skills ofsoling emergency problem of the family members were also observed. Results The infection rate and re-hospitalization rate during hospitalization of the observation group were significantly lower than those in the control group.Under the guidance of nurses,the feeding skills,health care skills,skin care skills and skills of soling emergency problemof family members were significantly higher than those of the control group.The difference was statistically significant(P < 0.05).In the investigation of the current situation of premature infants during hospitalization,the family members paid the most attention to the treatment plan,accounting for 33%,and the least attention to the nursing problem,accounting for 8%. Conclusion The PDCA circulation method in nursing of premature infants during hospitalization can reduce the postpartum infection rate and re-hospitalization rate of premature infantsand strengthen the family members' knowledge of the nursing knowledge and skills of premature infants,which is worthy of clinical application and promotion.
引文
[1]蒲皆秀,王长青.PDCA循环在医院人力资源管理中的运用[J].海南医学,2013,24(8):1221-1223.
[2]陈小秀.PDCA护理模式对初产妇产后状态的影响观察[J].河北医药,2013,35(5):782-783.
[3]林艳.关于持续完善我国突发事件应急管理体系的思考—基于PDCA循环模式及QC手法应用的视角[J].广西社会科学,2013,29(3):118-123.
[4]关戎.PDCA循环在糖尿病健康教育中的应用价值[J].临床医学工程,2013,20(3):362-363.
[5]赵慧,梁敏,刘欢,等.惠氏早产儿配方奶营养干预对早产儿追赶生长的效果分析[J].西部医学,2014,23(10):1936-1937.
[6]焦卉,刘洁欣.运用PDCA循环管理婴儿培养箱使用过程中的临床观察及护理[J].吉林医学,2010,31(29):97-100.
[7]周成,吴碎春,任晓碧,等.应用PDCA循环提高儿童24小时尿标本留取合格率的实践[J].中国护理管理,2013,13(11):52-55.
[8]刘颖,卢晓春,魏红艳,等.家长参与式护理指导对早产儿家庭护理的效果观察[J].护理实践与研究,2013,10(22):18-20.
[9]钱敏,刘艳林,胡兰英.PDCA循环在降低早产儿心电监护电极片致皮肤反应发生率中的应用[J].国际护理学杂志,2017,36(11):125-128.
[10]夏丽娟,魏志敏,赵丽华.基于PDCA模式的临床路径在高血压患者健康教育中的应用效果[J].临床合理用药杂志,2016,9(21):125-126.
[11]张雪玲.PDCA循环在慢性阻塞性肺疾病患者健康教育的应用效果分析[J].福建医药杂志,2012,34(5):140-142.
[12]黄敏.PDCA管理模式在乙型肝炎病人健康教育管理中的应用效果[J].全科护理,2012,10(5):475-476.
[13]梁琪.应用PDCA循环法控制早产儿院内感染的评价[J].实用临床医药杂志,2014,14(2):48-51.
[14]蒲皆秀,王长青.PDCA循环在医院人力资源管理中的运用[J].海南医学,2013,24(8):1221-1223.
[15]郑华蓉,蔡燕,周红.应用程序化护理干预提高早产与极低出生体质量儿母乳喂养率的研究[J].中国护理管理,2018,18(2):264-267.
[2]陈小秀.PDCA护理模式对初产妇产后状态的影响观察[J].河北医药,2013,35(5):782-783.
[3]林艳.关于持续完善我国突发事件应急管理体系的思考—基于PDCA循环模式及QC手法应用的视角[J].广西社会科学,2013,29(3):118-123.
[4]关戎.PDCA循环在糖尿病健康教育中的应用价值[J].临床医学工程,2013,20(3):362-363.
[5]赵慧,梁敏,刘欢,等.惠氏早产儿配方奶营养干预对早产儿追赶生长的效果分析[J].西部医学,2014,23(10):1936-1937.
[6]焦卉,刘洁欣.运用PDCA循环管理婴儿培养箱使用过程中的临床观察及护理[J].吉林医学,2010,31(29):97-100.
[7]周成,吴碎春,任晓碧,等.应用PDCA循环提高儿童24小时尿标本留取合格率的实践[J].中国护理管理,2013,13(11):52-55.
[8]刘颖,卢晓春,魏红艳,等.家长参与式护理指导对早产儿家庭护理的效果观察[J].护理实践与研究,2013,10(22):18-20.
[9]钱敏,刘艳林,胡兰英.PDCA循环在降低早产儿心电监护电极片致皮肤反应发生率中的应用[J].国际护理学杂志,2017,36(11):125-128.
[10]夏丽娟,魏志敏,赵丽华.基于PDCA模式的临床路径在高血压患者健康教育中的应用效果[J].临床合理用药杂志,2016,9(21):125-126.
[11]张雪玲.PDCA循环在慢性阻塞性肺疾病患者健康教育的应用效果分析[J].福建医药杂志,2012,34(5):140-142.
[12]黄敏.PDCA管理模式在乙型肝炎病人健康教育管理中的应用效果[J].全科护理,2012,10(5):475-476.
[13]梁琪.应用PDCA循环法控制早产儿院内感染的评价[J].实用临床医药杂志,2014,14(2):48-51.
[14]蒲皆秀,王长青.PDCA循环在医院人力资源管理中的运用[J].海南医学,2013,24(8):1221-1223.
[15]郑华蓉,蔡燕,周红.应用程序化护理干预提高早产与极低出生体质量儿母乳喂养率的研究[J].中国护理管理,2018,18(2):264-267.