以循证为基础的持续质量改进在降低新生儿低血糖发生率中的应用-国际护理学研究-CSCIED科技核心评价数据库-手机版

以循证为基础的持续质量改进在降低新生儿低血糖发生率中的应用

The application of evidenced-based quality improvement in reducing the incidence of neonatal hypoglycemia

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DOI	10.12208/j.ijnr.20230289
刊名	国际护理学研究 International Journal of Nursing Research
年，卷(期)	2023, 5(9)
作者	涂献方,黄悦*,钟月华,
作者单位	广州市妇女儿童医疗中心产科广东广州 ;
摘要	通过开展以循证证据应用为基础的质量改进活动降低剖宫产母婴同室新生儿低血糖发生率，降低低血糖对新生儿的影响，增强护士对循证证据的应用能力，提高护理质量，保证新生儿的健康。方法成立QC小组，通过循证方法找出预防新生儿低血糖的方法证据，并进行质量评价，通过FAME会议得出最终的证据，并将证据用于临床实践，分析证据应用过程中遇到的障碍因素，对障碍因素进行分析，找出原因，制定对策，实施对策，定期进行效果评价、总结。比较证据使用前后剖宫产母婴同室新生儿低血糖的发生率。结果质量改进后指标一、指标二、指标三、指标四和指标五的发生率均高于基线审查，差异具有统计学意义（P<0.05）。而低血糖在证据应用前后的差异无统计学意义（P>0.05），尚不能认为两者存在差异。结论质量改进活动对于降低剖宫产母婴同室新生儿低血糖发生率作用并不明显，仍需进行进一步的研究，以有利于提高护理质量和实施优质护理。
Abstract	Objective: To reduce the incidence of hypoglycemia and the influence of hypoglycemia on newborns by carrying out quality improvement activities based on evidence-based evidence application, enhance the ability of nurses to apply evidence-based evidence, improve nursing quality and ensure the health of newborns. Methods: The QC team was established to find out the evidence for the prevention of neonatal hypoglycemia by evidence-based method and to evaluate the quality. The final evidence was obtained by FAME meeting. The evidence was used in clinical practice, the obstacles encountered in the application of evidence were analyzed, the causes were found, the countermeasures were formulated, and the effects were evaluated and summarized regularly. To compare the incidence of hypoglycemia before and after the evidence implementation Results: After quality improvement, the incidence of indicators 1, 2, 3, 4 and 5 was higher than that of baseline review, and the difference was statistically significant (P < 0.05). However, there was no significant difference in hypoglycemia before and after the application of the evidence (P > 0.05). Conclusion: The effect of quality improvement activities on reducing the incidence of hypoglycemia of newborns in the same room of cesarean section is not obvious. Further research is still needed, but it is conducive to improving the quality of nursing and implementing quality nursing.
关键词	循证；新生儿低血糖；剖宫产；质量改进
KeyWord	Evidence-Based; Neonatal Hypoglycemia; Cesarean Section; Quality Improvement
基金项目
页码	1-6

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引用本文

涂献方,黄悦*,钟月华. 以循证为基础的持续质量改进在降低新生儿低血糖发生率中的应用 [J]. 国际护理学研究. 2023; 5; (9). 1 - 6.

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