PDCA循环法在新生儿重症监护病房护理质量管理中的应用

尹衍翠　曹君超　刘婷婷

[摘要] 目的 分析PDCA循环法应用于新生儿重症监护室病房质量管理中的应用效果。方法 择取2018年5月—2019年5月期间于该院新生儿重症监护室收治的124例患儿作为研究对象，将其随机划分为计划组与一般组，每组62例患儿，计划组患儿接受PDAC循环管理法，一般组患儿接受常规管理，比较两组患儿护理效果。结果 ①院内感染发生率：计划组患儿感染发生率为3.22%，较一般组低，两组间差异有统计学意义（P<0.05）;②病房管理质量：计划组病房管理质量评分显著高于一般组，两组间差异有统计学意义（P<0.05）。结论 PDCA循环法应用于新生儿重症监护病房中，可降低患儿感染风险，改善病房管理质量。

[关键词] 病房管理;新生儿重症监护室;PCDA循环法;护理质量

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0003-03

Application of PDCA Cycle in Nursing Quality Management in Neonatal Intensive Care Unit

YIN Yan-cui， CAO Jun-chao， LIU Ting-ting

Department of Neonatal， Rizhao People's Hospital， Rizhao， Shandong Province， 276800 China

[Abstract] Objective To analyze the application effect of PDCA cycle method in the quality management of neonatal intensive care unit. Methods A total of 124 children who were admitted to the neonatal intensive care unit of the hospital from May 2018 to May 2019 were selected as the research subjects， and they were randomly divided into a planning group and a general group， with 62 children in each group. The children in the planning group received the PDAC cycle management method， the children in the general group received routine management， and the nursing effects of the two groups were compared. Results 1.the incidence of nosocomial infections： the incidence of infection in children in the planning group was 3.22%， which was lower than that in the general group， and the difference between the two groups was statistically significant（P<0.05）; 2.the quality of ward management： the ward management quality score of the planning group was significantly higher than that of the general group， and the difference between the two groups was statistically significant（P<0.05）. Conclusion The PDCA cycle method can be used in neonatal intensive care unit to reduce the risk of infection and significantly improve the quality of ward management.

[Key words] Ward management; Neonatal intensive care unit; PCDA circulation method; Quality of care

鉴于新生儿重症监护室中的危重症新生儿尚无语言能力，无法通过语言表达自身不适，护理人员需要仔细观察患儿各项行为，通过患儿行为特点判断患儿健康状况。新生兒重症监护室属于无陪护的全封闭管理病房，患儿病情较为严重，护理质量与患儿治疗效果有直接关联，为改善患儿预后，需要从提高新生儿重症监护室护理质量入手，为重症患儿提供优质的护理服务，使其能够尽快好转进入普通病房[1]。基于此该文择取2018年5月—2019年5月期间于该院新生儿重症监护室收治的124例患儿作为研究对象，旨在研究新生儿重症监视病房质量管理中应用PDCA循环管理法的效果，现报道如下。

1  资料与方法

1.1  一般资料

择取于该院新生儿重症监护室收治的124例患儿作为研究对象，将其随机划分为计划组与一般组，每组62例患儿。选入原则：患儿病情不影响研究;患儿无呼吸衰竭;患儿父母对于研究知情并签署知情同意书;患儿诊疗资料完整。……