健康研究2025，Vol.45Issue(2)：236-240,5.DOI:10.19890/j.cnki.issn1674-6449.2025.02.019
基于PDCA的改良鸟巢式管理模式对早产儿院内感染及生长发育的影响
The impact of improved bird's nest management model based on PDCA on nosocomial infections and growth and development in premature infants
摘要
Abstract
Objective To explore the impact of an improved bird's nest management model intervention based on the Plan-Do-Check-Act(PDCA)cycle on the incidence of nosocomial infections and growth and development in premature infants,and to provide evidence for improving the prognosis of premature infants.Methods Clinical data of 100 premature infants admitted to Henan Children's Hospital Zhengzhou Children's Hospital from June 2023 to March 2024 were retrospectively collected.These infants were categorized into a control group and a PDCA bird's nest group based on different nursing methods,with 50 cases in each group.They received conventional management and improved bird's nest style management based on PDCA,respectively.The incidence of nosocomial infections in two groups of premature infants and the satisfaction of their families with management were statistically compared.The growth and development(length,weight,head circumference)of the two groups of premature infants were collected at the time of enrollment and after 6 weeks of management.The neonatal behavioral neurological assessment(NBNA)was used to assess the neurodevelopment of the premature infants.Results The incidence of nosocomial infections in premature infants in the PDCA bird's nest group(2.00％)was lower than that in the control group(18.00％),and the satisfaction of family members with management(98.00％)was higher than that in the control group(84.00％),with statistically significant differences(x2=7.111,5.983,both P＜0.05).After 6 weeks of management,the growth in body length,weight,head circumference,and NBNA scores in the PDCA bird's nest group were all greater than those in the control group,with statistically significant differences(P＜0.05).Conclusions The improved bird's nest management model based on PDCA can reduce the incidence of nosocomial infections in premature infants,promote their physical growth and neurological development,and enhance family satisfaction.关键词
计划-实施-检查-行动循环/改良鸟巢式/早产儿/院内感染/生长发育Key words
Plan-Do-Check-Act cycle/improved bird's nest/premature infants/nosocomial infection/growth and devel-opment分类
医药卫生引用本文复制引用
魏宁,崔岢丰,朱宏瑞,赵绍漓..基于PDCA的改良鸟巢式管理模式对早产儿院内感染及生长发育的影响[J].健康研究,2025,45(2):236-240,5.基金项目
郑州市医学科研项目(ZZYK2024080) （ZZYK2024080）
