项目管理在降低早产儿肺炎克雷伯杆菌感染率中的应用

Application of project management in the decrease of the infection rate of Klebsiella pneumoniae in premature infants

目的探讨项目管理在降低早产儿肺炎克雷伯杆菌感染率中的应用,以降低早产儿肺炎克雷伯菌感染发生率。方法选取2015年4~10月于粤北人民医院新生儿科接受呼吸机辅助呼吸治疗的119例早产患儿为研究对象,按照项目管理实施前后分为干预组(58例)与对照组(61例),项目管理实施前为对照组,项目管理实施后为干预组。比较两组早产儿的气管导管肺炎克雷伯杆菌检出阳性率及感染率。结果干预组的肺炎克雷伯杆菌阳性率、感染率低于对照组,差异有统计学意义(P<0.05)。干预组在执行气管内吸痰、吸痰瓶及吸痰冲洗液更换、手卫生管理、口腔护理、仪器物品消毒、患儿体位管理等影响肺炎克雷伯杆菌感染率过程中的不合格率明显低于对照组,差异有统计学意义(P<0.05)。干预组的上机时间、住院时间短于对照组,差异有统计学意义(P<0.05)。结论项目管理在早产儿质量管理工作中能够降低早产儿肺部肺炎克雷伯杆菌院内感染率,可以为护理质量管理者提供一种新的运作模式。

Objective To explore the application of project management in reducing the infection rate of Klebsiella pneumoniae in premature infants,so as to reduce the incidence of Klebsiella pneumoniae infection in premature infants.Methods A total of 119 premature infants who received ventilator assisted respiratory therapy in Department of Neonatology of Yue Bei People′s Hospital from April to October 2015 were selected as study subjects.According to the implementation of project management,they were divided into the intervention group(58 cases)and the control group(61 cases).The control group was before the implementation of project management,and the intervention group was after the implementation of project management.The positive rate and the infection rate of Klebsiella pneumoniae in premature infants in the two groups were compared.Results The positive rate and infection rate of Klebsiella pneumoniae in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).The unqualified rate in the implementation of endotracheal suction,sputum suction bottle and sputum washing fluid replacement,hand hygiene management,oral care,instrument disinfection,and children′s posture management of the intervention group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Duration of ventilator treatment and hospitalization of the intervention group were shorter than those of the control group,the differences were statistically significant(P<0.05).Conclusion Project management can reduce those the nosocomial infection rate of Klebsiella pneumoniae in the quality management of premature infants and provide a new operation mode for nursing quality managers.