持续质量改进对新生儿皮肤脓疱疮感染率的影响

目的：探讨实施护理干预措施持续质量改进（Continuous Quality Improvement ，CQI）对新生儿皮肤脓疱疮发生的影响。方法分析2011年山东大学附属省立医院产科86例新生儿发生皮肤脓疱疮感染的特点，根据分析结果制定并实施护理防控干预措施CQI ，前瞻性监测2012年、2013年产科出生的4282例和4430例新生儿发生皮肤脓疱疮感染率情况。结果实施CQI后，新生儿皮肤脓疱疮感染率从2011年的2．36％降低到2012年的0．59％和2013年的0．66％，2011年与2012年、2013年比较，新生儿皮肤脓疱疮感染率差异均有统计学意义（ P ＜0．01）；2012年和2013年新生儿皮肤脓疱疮感染率差异无统计学意义（ P ＞0．05）。结论实施护理干预措施CQI ，可有效减少院内新生儿脓疱疮的发生，值得应用和推广。

THE EFFECT OF NURSING INTERVENTION MEASURES OF CONTINUOUS QUALITY IMPROVEMENT ON THE INFECTION RATE OF NEONATAL IMPETIGO IN NEWBORNS

Objective To explore the effect of the nursing intervention measures of continuous quality improvement （CQI） on the occurrence of neonatal impetigo .Methods T he clinical characteristics of impeti-go in 86 new borns born in the Obstetrical Department in Provincial Hospital affiliated to Shandong University in 2011 were analyzed and the nursing intervention measures of CQI were taken for the newborns .The in-fection rates of impetigo in infants born in the Obstetri-cal Department in 2012 （4282 cases） and in 2013 （4430 cases） were prospectively monitored respectively . Results The infection rate of neonatal impetigo was 2 .36% in 2011 .After the implementation of the nurs-ing intervention measures of CQI ,the infection rate of neonatal impetigo was reduced to 0 .59% in 2012 and to 0 .66% in 2013 .The differences between before and after the intervention in 2011 ,2012 and 2013 were significant （ P〈0 .01） ,but the differences in 2012 and 2013 were not significant （ P〉0 .05） .Con-clusion The nursing intervention measures of CQI can effectively reduce the occurrence of neonatal impetigo in hospital .