PDCA循环管理对母婴同室病房感染控制的应用效果  

Application and Effect of PDCA Cycle Management on Infection Control of Mother-infant Ward

作　　者：黄升华[1] 李花 

机构地区：[1]汉源县人民医院院感科,四川汉源625300 [2]西安市阎良铁路医院儿科,陕西西安710089

出　　处：《医学临床研究》2018年第1期70-72,共3页Journal of Clinical Research

摘　　要：【目的】探讨[P计划（plan）、D执行（Do）、C检查（Check）、A处理（Action），PDCA]循环管理在母婴同室病房感染控制中的应用效果。[方法]2015年1月开始本院在母婴同室病房实施PDCA循环管理，选择实施前（2013年6月至2014年12月）280例、实施后（2015年1月至2016年6月）280例为研究对象，比较PDCA循环管理实施前后病房卫生情况监测合格率和各类感染发生率。【结果】实施PDCA循环管理后，母婴同室病房空气、奶嘴、奶瓶、消毒液、物体表面和医护人员的手等卫生情况监测的合格率均明显高于实施前（P〈0．05）；新生儿感染肺炎、鹅口疮、腹泻、腹胀和败血症等明显低于实施前（Pd0．05）。【结论】PDCA循环管理可显著提高母婴同室病房的卫生条件合格水平，降低新生儿感染发生率。[Objective]To explore the application and effect of PDCA （Plan-Do-Check-Action） cycle management on the infection control of the mothe〉infant ward. [Methods]PDCA cycle management was implemented in our hospital＇s maternity ward （mother-infant wards） since January 2015. We selected 280 cases of newborns before PDCA implementation （June 2013 to December 2014） and 280 cases after implementation （January 2015 to June 2016） for this study. The passing rate of health situation monitoring test and incidences of various types of infections before and after the implantation of PIX;A cycle management were compared. [Results]After the implementation of PDCA cycle management, the passing rate of health situation monitoring such as the air of month-infant ward, nipples, feeding-bottles, disinfectant, object surfaces and medical personnel＇s hands were significantly higher than before the implementation （χ3= 5.306 - 14.023, P 〈0,05,P 〈0.01 ）. In addition, the incidences of neonatal pneumonia, thrush, diarrhea, abdominal distension and septicemia were significantly lower than before （ χ2 = 4.353 - 29.232, P 〈0.05, P 〈0.01）. [Conclusion]PDCA cycle management can significantly improve the health situa tion of mother-infant ward and reduce the incidence of neonatal infection.

关 键 词：交叉感染/预防和控制 医院科室/组织和管理 母婴同室 婴儿 新生 

分 类 号：R722.13[医药卫生—儿科]