摘要
目的探讨PDCA循环护理模式在新生儿坏死型小肠结肠炎(NEC)患儿护理中的应用效果。方法选取2018年2月至2019年12月在泉州市儿童医院NICU收治的70例早产儿NEC患儿,随机分为PDCA组、基础组,每组各35例。基础组采用常规护理模式,PDCA组在基础组的护理方案上进行PDCA循环护理干预,观察两组护理效果、住院时间、并发症发生率及家长满意度。结果PDCA组患儿总有效率为71.43%,高于基础组的42.86%(χ^(2)=7.142,P<0.05),PDCA组住院时间为(14.84±1.25)d,短于基础组的(28.09±3.48)d(t=17.470,P<0.05);PDCA组肠穿孔、体温升高发生率为5.71%,低于基础组的20.00%(χ^(2)=7.943,P=0.004);PDCA组家长满意度为94.29%,高于基础组的85.71%(χ^(2)=4.361,P=0.036)。结论PDCA循环护理模式可减少早产NEC患儿肠穿孔发生率,缩短病程,增加临床疗效,提高家长满意度。
Objective To investigate the application efficacy of PDCA cycle nursing mode in nursing care for NEC children.Methods A total of 70 premature NEC children admitted to NICU of Quanzhou Children’s Hospitall from February 2018 to December 2019 were selected and randomly divided into the PDCA group(n=35)and the basic group(n=35).The basic group was given conventional nursing mode,while the PDCA group was given PDCA cycle nursing intervention on the nursing scheme of the basic group,and the correlation analysis of nursing efficacy,hospitalization time,incidence of complications and parents’satisfaction were observed.Results The total efficacy rate of the PDCA group was 71.43%,which was higher than 42.86%of the basic group(χ^(2)=7.142,P<0.05).The hospitalization time of the PDCA group was(14.84±1.25)d,which was shorter than(28.09±3.48)d in the basic group(t=17.470,P<0.05).The incidence of intestinal perforation and temperature rise in the PDCA group was 5.71%,which was lower than 20.00%in the basic group(χ^(2)=7.943,P=0.004).Parents’satisfaction in the PDCA group was 94.29%,which was higher than 85.71%in the basic group(χ^(2)=4.361,P=0.036).Conclusion PDCA cycle nursing mode can reduce the incidence of intestinal perforation of premature NEC children,shorten the course of disease,increase clinical efficacy and improve parents’satisfaction.
作者
李玉萍
LI Yuping(Quanzhou Children's Hospital,Fujian,Quanzhou 362400,China)
出处
《中国医药科学》
2021年第1期161-163,185,共4页
China Medicine And Pharmacy
