护理人员主导式PDCA模式在母婴同室新生儿血糖监测中的应用效果

Application of PDCA Mode Dominated by Nursing Staff in Blood Glucose Monitoring in Rooming-in Infants

目的探讨护理人员主导式计划-实施-检查-处理(PDCA)模式在母婴同室新生儿血糖监测中的应用效果。方法选取母婴同室低血糖高风险新生儿200例,按随机数字表法分为2组:对照组100例予以常规护理干预,观察组100例予以护理人员主导式PDCA模式干预。比较2组血糖监测情况、不良事件发生率及家属护理工作满意度。结果与对照组比较,观察组血糖检测规范率及出生1 h内血糖监测率显著升高,不良事件发生率显著降低,家属护理工作满意度显著升高,差异有统计学意义(均P<0.05)。结论护理人员主导式PDCA模式可增强母婴同室新生儿血糖检测的规范率,降低不良事件发生率,还能提高家属对护理工作的满意度。

Objective To explore the efficacy of nursing staff-dominated Plan-Do-Check-Action(PDCA)model in blood glucose monitoring in rooming-in infants.Methods Two hundred rooming-in newborns at high risk of hypoglycemia were randomly assigned to receive either routine nursing intervention(control group,n=100)or nursing staff-dominated PDCA nursing intervention(observation group,n=100).The situation of blood glucose monitoring,incidence of adverse events and family satisfaction with nursing were compared between the two groups.Results The standard rate of blood glucose detection,the rate of blood glucose monitoring within 1 hour after birth and family satisfaction with nursing in the observation group were higher than those in the control group(P<0.05).Furthermore,the rate of adverse reaction in the observation group was lower than that in the control group(P<0.05).Conclusion Nursing staff-dominated PDCA model can increase the standard rate of blood glucose monitoring,reduce the incidence of adverse events,and improve family satisfaction with nursing work in rooming-in newborns.