基于PDCA循证干预联合多爱肤水胶体敷料在新生儿臀红中的应用效果分析

孟凡艳 谭盛玉 郭锦华

【摘要】 目的：探讨新生儿臀红采用基于PDCA循证干预联合多爱肤水胶体敷料的效果。方法：选取2019年9月-2020年9月本院新生儿124例，随机分为对照组和试验组，每组62例。对照组实施常规干预，试验组实施基于PDCA循证干预联合多爱肤水胶体敷料，对比两组各级创口的愈合时间、住院时间、臀红消退时间、处置所耗时间、感染发生情况及干预效果。结果：试验组Ⅰ度、Ⅱ度及Ⅲ度创面愈合时间均短于对照组（P<0.05）;试验组住院时间、臀红消退时间及处置时间均短于对照组（P<0.05）;试验组创面感染发生率为3.23%、干预有效率为95.16%及家属总满意率为98.39%，显著优于对照组的17.74%、75.81%及66.13%（P<0.05）。结论：在新生儿臀红中采用基于PDCA循证干预联合多爱肤水胶体敷料，能促进创面快速愈合，缩短臀红消退时间，促进疾病快速康复。

【关键词】 PDCA循证干预 多爱肤水胶体敷料 新生儿 臀红

Application Effect of Evidence-based Intervention Based on PDCA Combined with Duoderm Hydrocolloid Dressing in Newborn Gluteal Red/MENG Fanyan， TAN Shengyu， GUO Jinhua. //Medical Innovation of China， 2021， 18（13）： -106

[Abstract] Objective： To explore the effect of evidence-based intervention based on PDCA combined with Duoderm hydrocolloid dressing in newborn gluteal red. Method： From September 2019 to September 2020， 124 newborns in our hospital were selected and divided into the control group and the experimental group， 62 cases in each group. Conventional intervention was carried out in the control group， and evidence-based intervention based on PDCA combined with Duoderm hydrocolloid dressing was carried out in the experimental group. The healing time， hospitalization time， gluteal red regression time， treatment time， wound incidence and intervention effect of two groups were compared. Result： Healing time of Ⅰ degree， Ⅱ degree and Ⅲ degree wounds in the experimental group were shorter than those in the control group （P<0.05）; hospital stay time， gluteal red receding time and disposal time were shorter than those of the control group （P<0.05）; the incidence of wound infection was 3.23%， the effective rate of intervention was 95.16%， and the total satisfaction rate of family was 98.39%， significantly better than 17.74%， 75.81% and 66.13% of the control group （P<0.05）. Conclusion： Evidence-based intervention based on PDCA combined with Duoderm hydrocolloid dressing can promote the rapid healing of wound， shorten the time of gluteal red regression and promote the rapid recovery of disease.

[Key words] Evidence-based intervention based on PDCA Duoderm hydrocolloid dressing Newborn Gluteal red

First-authors address： Jiamusi Maternal and Child Health Hospital， Jiamusi 154002， China

doi：10.3969/j.issn.1674-4985.2021.13.025

臀红为新生儿发生率较高的疾病，其发生原因为新生儿皮肤柔嫩，角质层较薄，若不加强护理，使臀部长期在尿粪的刺激下，出现潮红、红肿症状，严重者出现丘疹和水泡，引发皮肤溃烂和感染[1]。目前，临床对于新生儿臀红治疗常以预防症状发生、积极治疗干预为主，虽然取得一定治疗效果，但若护理不当，在长期的治疗中，不仅增加新生儿痛苦，而且降低治疗效果。为此，在新生儿臀红中采用有效、科学、针对性的干预措施，对改善临床症状至关重要[2]。以往常规干预，缺乏全面性，干预效果并不显著，基于此，此次研究选取本院新生儿125例作为研究对象，分析應用基于PDCA循证干预联合多爱肤水胶体敷料护理取得的干预效果，现报道如下。

1 资料与方法

1.1 一般资料 选取2019年9月-2020年9月本院124例新生儿作为研究对象。纳入标准：日龄在28 d内;身体状态良好，无其他并发症出现;临床表现出皮肤超红、脱皮及破溃等症状。……