新生兒護(hù)理中細(xì)節(jié)護(hù)理管理的應(yīng)用價(jià)值研究

程紅　鄧小亞

[摘要] 目的 探究細(xì)節(jié)護(hù)理管理用于新生兒護(hù)理中的價(jià)值。方法 將該院2017年12月—2019年3月新生兒科接收的120例患兒作為研究對(duì)象，遵從隨機(jī)化原則均分成兩組，對(duì)照組（n=60）行常規(guī)護(hù)理管理，試驗(yàn)組（n=60）行細(xì)節(jié)護(hù)理管理。比較兩組護(hù)理結(jié)果、家屬護(hù)理滿意度。結(jié)果 試驗(yàn)組護(hù)理差錯(cuò)發(fā)生率為1.67%，家屬投訴率為0.00%，與對(duì)照組的11.67%、8.33%對(duì)比差異有統(tǒng)計(jì)學(xué)意義（χ2=4.824、5.217，P<0.05）;對(duì)照組家屬護(hù)理總滿意度為86.67%，低于試驗(yàn)組的98.33%，組間差異有統(tǒng)計(jì)學(xué)意義（χ2=5.886，P<0.05）。結(jié)論 細(xì)節(jié)護(hù)理管理應(yīng)用在新生兒護(hù)理中能減少護(hù)理差錯(cuò)，提高護(hù)理質(zhì)量，密切護(hù)患關(guān)系。

[關(guān)鍵詞] 護(hù)理管理;細(xì)節(jié)護(hù)理;護(hù)理差錯(cuò);新生兒

[中圖分類號(hào)] R47 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1672-5654（2020）02（c）-0050-03

[Abstract] Objective To explore the value of detailed nursing management in neonatal care. Methods A total of 120 children admitted to the neonatal department of the hospital from December 2017 to March 2019 were used as research objects. They were divided into two groups according to the randomization principle， the control group （n=60） with routine treatment， and the experimental group adopted detailed care management. The nursing results and family satisfaction were compared between the two groups. Results The incidence of nursing errors in the experimental group was 1.67%， and the complaint rate of family members was 0.00%. There was a statistically significant difference with the control group at 11.67% and 8.33%（χ2=4.824、5.217， P<0.05）; the total satisfaction of family members in the control group was 86.67%， which was lower than 98.33% in the experimental group. The difference between the two groups was statistically significant（χ2=5.886， P<0.05）. Conclusion The application of detailed nursing management in neonatal care can reduce nursing errors， improve nursing quality， and close the relationship between patients and patients.

[Key words] Nursing management; Detailed nursing; Nursing errors; Newborns

近些年來，隨著醫(yī)療技術(shù)的不斷提高，人們的健康意識(shí)也相應(yīng)提高，因此對(duì)醫(yī)療工作提出了較高的要求，不僅要求有效治療疾病，還要求享受到優(yōu)質(zhì)周到的護(hù)理服務(wù)。在醫(yī)院各個(gè)科室中，新生兒科屬于重要科室，收治的對(duì)象具有特殊性，因新生兒各個(gè)器官與免疫系統(tǒng)發(fā)育尚不成熟[1]，一旦出現(xiàn)護(hù)理差錯(cuò)，便有可能引起感染，誘發(fā)其他疾病，嚴(yán)重影響到新生兒的生長發(fā)育，甚至危及其生命安全。有學(xué)者指出[2]，在新生兒科采用細(xì)節(jié)護(hù)理管理，既能使醫(yī)療護(hù)理服務(wù)質(zhì)量得到提高，也是提升患方滿意度的重要途徑。現(xiàn)探究2017年12月—2019年3月該院新生兒科收治的120例患兒采用不同護(hù)理管理的臨床效果，現(xiàn)報(bào)道如下。

1? 資料與方法

1.1? 一般資料

選取該院收治的120例新生兒為研究對(duì)象，均分成兩組。對(duì)照組男女之比為38：22;日齡1～20 d，平均（12.06±2.84）d;疾病類型：31例早產(chǎn)兒、17例新生兒肺炎、10例新生兒高膽紅素血癥以及2例其他疾病。試驗(yàn)組男女之比為40：20;日齡2～19 d，平均（12.11±2.65）d;疾病類型：30例早產(chǎn)兒、16例新生兒肺炎、11例新生兒高膽紅素血癥以及3例其他疾病。……