品管圈活动对降低新生儿在综合医院产科病房中风险的价值探 讨简

目的 降低新生儿产科病房中护理风险,提高综合医院新生儿护理质量.方法 选取2012年1～12月在同济大学附属第十人民医院产科出生的活产新生儿共1200例,随机分为对照组和实验组,对照组实施常规护理,实验组提出品管圈活动,采用早期干预、目视管理等方法,比较实施品管圈活动组和对照组新生儿发生疾病的情况,发病后儿科住院天数,新生儿不良事件发生情况.结果 两组新生儿发生疾病的发病率差异无统计学意义（P＞0.05）;实验组黄疸新生儿转儿科后住院时间为（6.24±0.41）d,较对照组住院天数（7.11±0.52）d]明显减少（P＜0.01）,实验组肺炎住院时间为（7.21±0.88）d,较对照组住院天数（8.05±1.02）d]明显减少（P＜0.01）;新生儿不良事件发生率实验组为2.70％,对照组为5.30％,两组差异有统计学意义（P＜0.05）.结论 综合医院产科病房中实施品管圈活动可以提高新生儿护理质量,降低新生儿不良事件发生.

Value explore on quality control circle activity on reducing the nursing risk of neonatal in maternity ward of general hospital

Objective To investigate the quality control circle activity on decreasing the nursing risk of neonates in maternity ward of general hospital. Methods 1200 neonates born in maternity ward of the Tenth People＇s Hospital of Tongji University from January to December 2012 were enrolled, they were randomized divided into the control group and experiment group. Quality control circle activity was established with early intervention and visual management methods, while the common nursing methods was used in the control group, the happening of diseases, recovery time and medical inccident affairs rates were compared. Results No difference was found in the morbidity rate of the two group （P 〉 0.05）. But after carrying out quality management circle activity, jaundice hospitalization length significantly reduced from （7.11±0.52） d to （6.24±0.41） d （P 〈 0.01）, pneumonia hospitalization length reduced from （8.05±1.02） d to （7.21±0.88） d （P 〈 0.01）; neonatal adverse events rate decreased from 5.30% to 2.70% （P 〈 0.05）. Conclusion Quality control circle in obstetrical ward improves the quality of nursing and decrease the adverse events.