基于循证的质量改进模式在97例NICU早产新生儿中的应用效果分析

Analysis of application effect of evidence-based practice for improving quality model in 97 preterm neonates born in NICU

目的探究基于循证的质量改进(evidence-based practice for improving quality,EPIQ)模式在新生儿重症监护室(neonatal intensive care unit,NICU)的应用效果。方法回顾性分析本院2020年8—11月NICU收治的97例早产新生儿临床资料。97例早产新生儿均接受EPIQ模式。记录97例早产新生儿在NICU内感染率、医护人员手卫生达标率、住院时间、有创通气天数、中心静脉导管留置天数、死亡率及并发症发生率。结果97例早产新生儿尿路感染、败血症、VAP感染发生率分别为0.00%、3.09%、1.03%;医生和护士手卫生达标率分别为92.59%、93.94%;住院时间、有创通气天数及中心静脉导管留置天数分别为(21.59±5.28)d、(2.79±0.63)d、(13.14±3.86)d;死亡总发生率为1.03%,颅内出血、早产儿视网膜病及支气管肺发育不良发生率分别为2.06%、4.12%、2.06%。结论对NICU内新生儿采取基于循证的质量改进模式应用效果较好,可有效控制NICU内感染率,缩短患儿住院时间,促进预后。

Objective To investigate the application effect of evidence-based practice for improving quality(EPIQ)mode in neonatal intensive care unit(NICU).Methods A retrospective analysis was performed for the clinical data of 97 premature neonates admitted to the NICU from August 2020 to November 2020.All 97 preterm neonates received the EPIQ model.The infection rate in the NICU,the rate of hand hygiene of medical staff,length of hospital stay,days of invasive ventilation,number of days of central venous catheter indwelling,mortality,and morbidity of 97 preterm neonates were recorded.Results The incidence rates of urinary tract infection,sepsis,and VAP infection in 97 premature neonates were 0.00%,3.09%and 1.03%,respectively.The hand hygiene compliance rates of doctors and nurses were 92.59%and 93.94%,respectively.The length of hospital stay,days of invasive ventilation,and days of central venous catheter indwelling were(21.59±5.28)d,(2.79±0.63)d,and(13.14±3.86)d,respectively.The overall incidence of death was 1.03%,and the incidence rates of intracranial hemorrhage,retinopathy of prematurity,and bronchopulmonary dysplasia were 2.06%,4.12%,and 2.06%,respectively.Conclusion The EPIQ mode model for newborns in the NICU has a good application effect,which can effectively control the infection rate in the NICU,shorten the hospital stay and promote the prognosis.