六西格玛管理下无缝隙护理模式对早产儿院内感染及整体康复的影响  

Effect of seamless nursing mode under Six Sigma management on nosocomial infection and overall rehabilitation of premature infants

作　　者：严金芳 陶美霞[2] 顾瓅[1] 黄柳柳 刘燕[1] Yan Jinfang;Tao Meixia;Gu Li;Huang Liuliu;Liu Yan(Department of Neonatology,Affiliated Matemal and Child Health Care Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属妇幼保健院新生儿科,江苏南通226001 [2]南通大学附属妇幼保健院护理部,江苏南通226001

出　　处：《海军医学杂志》2023年第11期1147-1152,共6页Journal of Navy Medicine

基　　金：南通市卫生健康委员会科研课题(MB2021063)。

摘　　要：目的探讨早产儿实施六西格玛管理下无缝隙护理模式对院内感染、护理质量及整体康复的作用。方法选取2019年3月至2022年3月南通大学附属妇幼保健院出生的早产儿92例,根据住院时间将患儿分为对照组和研究组,每组46例。对照组行常规护理管理模式,研究组在对照组基础上行六西格玛管理下无缝隙护理模式。比较2组院内感染相关并发症发生率、护理质量、神经心理发育;并对比出院后3个月、6个月、12个月早产儿的体重和身高。结果护理前,2组护理质量、神经心理发育情况、体重、身高比较差异无统计学意义(P>0.05)。护理后,研究组肠道感染、败血症及其他感染总发生率低于对照组(P<0.05),研究组病房管理、基础护理操作、护理文书记录、护理服务态度、风险处理、沟通能力评分高于对照组(P<0.05),研究组粗大动作、精细动作评分高于对照组(P<0.05);出院后3个月、6个月、12个月研究组体重、身高高于对照组(P<0.05)。结论六西格玛管理下无缝隙护理模式有助于降低早产儿院内感染相关并发症的发生,提升护理质量,促进其神经心理发育,改善体重、身高水平。Objective To explore the effect of seamless nursing mode under Six Sigma management on nosocomial infection,nursing quality,and overall rehabilitation of premature infants.Methods A total of 92 premature infants born in affiliated matemal and child health care hospital of nantong university from March 2019 to March 2022 were enrolled.According to the length of hospital stay,they were assigned to the control group or the study group,with 46 cases in each group.The control group was given routine nursing management,and the research group was given seamless nursing under Six Sigma management on the basis of routine nursing.The incidence of complications related to nosocomial infection,nursing quality,and neuropsychological development were compared between the two groups one month later.The weight and height of premature infants at 3 months,6 months,and 12 months after discharge were compared between the two groups.Results Before nursing,there were no significant differences in nursing quality,neuropsychological development,weight,or height between the two groups(P>0.05).After nursing,the total incidence of intestinal infection,septicemia,and other infections in the study group was significantly lower than that in the control group(P<0.05).The scores of ward management,basic nursing operation,nursing document record,nursing service attitude,risk management,and communication ability in the study group were significantly higher than those in the control group(P<0.05).The scores of gross and fine movements in the study group were significantly higher than those in the control group(P<0.05).The body weight and height of the study group were significantly higher than those of the control group at 3 months,6 months,and 12 months after discharge(P<0.05).Conclusion The seamless nursing under Six Sigma management is helpful to reduce the incidence of nosocomial infectionrelated complications of premature infants,improve the quality of nursing,promote neuropsychological development of premature infants,and increase their weig

关 键 词：六西格玛管理 无缝隙护理模式 早产儿 院内感染 

分 类 号：R473.72[医药卫生—护理学]