护理专案管理在降低新生儿红臀发生率中的应用

Effects of nursing project management on reducing the incidence of red buttock in neonates

目的 探讨通过开展护理专案行动降低新生儿红臀发生率的效果.方法 采用方便抽样法,收集2018年2-4月在北京大学第三医院289例住院新生儿资料,作为对照组,查找出现红臀的原因,制订针对性措施进行持续质量改进.将2018年6-8月333例新生儿作为试验组,采用护理专案方法进行护理.比较两组新生儿的红臀发生率.结果护理专案实施后,新生儿红臀发生率从对照组的13.15%(38/289)下降至试验组的4.50%(15/333),差异有统计学意义(P<0.01).且试验组未发生Ⅲ度红臀病例.结论实施护理专案提高了护士对于新生儿红臀知识的掌握程度,促进护士对新生儿红臀的关注和防范意识,提高了护士规范化操作和专业水平,增加了患儿舒适感,提升新生儿病房的护理服务质量.

Objective To explore the effects of nursing project management on reducing the incidence of red buttock in neonates. Methods The data of 289 neonates hospitalized in Peking University Third Hospital between February and April 2018 were collected as the control group by convenient sampling. The causes of red buttock were identified, and targeted measured were developed for continuous quality improvement. Another 333 neonates hospitalized from June to August 2018 were selected as the treatment group, who received nursing care using the nursing project. The incidence rate of red buttock was compared between the two groups. Results After the nursing project was implemented, the incidence rate of red buttock was reduced from 13.15%(38/289) in the control group to 4.50% (15/333) in the treatment group, and there was statistically significant difference between the two groups (P<0.01). There was no III red buttock in the treatment group. Conclusions The nursing project enables the nurses to have a better command of the knowledge about red buttock in neonates, empowers them to pay attention to and prevent red buttock in neonates, improves their standardized operations and level of expertise, enhances the neonates' comfort, and promotes the quality of nursing service in neonatal wards.