摘要
目的探究六西格玛管理对老年住院患者发生肺部感染的防护效果,优化护理质量。方法选取医院2014年1-12月收治的200例老年住院患者作为研究对象,将2014年1-6月100例老年住院患者设为对照组,2014年7-12月100例老年住院患者设为观察组,对照组采用常规干预方法,观察组采用六西格玛管理干预;干预3个月后,比较两组患者肺部感染率,采用调查问卷方式调查干预满意度及感染防护知识掌握度,采用抑郁自评量表(SDS)和焦虑自评量表(SAS)调查患者的心理状况;应用SPSS 17.0软件对数据进行统计分析。结果观察组感染率为8.0%,对照组为28.0%,观察组肺部感染明显少于对照组,差异有统计学意义(P<0.05);满意度调查结果显示,对照组满意度88.00%,而观察组满意度96.00%,明显高于对照组,差异有统计学意义(P<0.05);观察组患者感染防护知识掌握度明显优于对照组,差异有统计学意义(P<0.05);两组住院老年患者干预前SAS、SDS评分差异无统计学意义;经干预后,观察组SAS、SDS评分显著优于对照组,差异有统计学意义(P<0.05)。结论六西格玛管理模式有效降低了住院老年患者肺部感染率,提高患者对干预的满意度及感染防护知识掌握度,减少患者负面情绪的发生,是控制住院老年患者肺部感染的有效管理方法。
OBJECTIVE To explore the effect of six sigma management on prevention of pulmonary infections in the elderly hospitalized patients so as to optimize the nursing quality.METHODS A total of 200 elderly patients who were hospitalized from Jan 2014 to Dec 2014 were recruited as the study objects and divided into the control group with 100cases（from Jan 2014 to Jun 2014）and the observation group with 100cases（from Jul 2014 to Dec 2014）.The control group was treated with conventional intervention,while the observation group was treated with the six sigma management.The incidence of pulmonary infections was compared between the two groups after the intervention for 3months.The questionnaire survey was conducted to investigate the satisfaction with the intervention and the acquisition of knowledge of infection control,the psychological state of the patients was investigated by means of self-rating depression scale（SDS）and self-rating anxiety scale（SAS）,and the statistical analysis of data was performed with the use of SPSS 17.0software.RESULTS The infection rate was 8.0%in the observation group,significantly lower than 28.0% in the control group（P〈0.05）.The survey of the satisfaction indicated that the satisfaction of the observation group was 96.00%,significantly higher than 88.00% of the control group（P〈0.05）;the patients in the observation group could better master the infection control knowledge than the patients in the control group（P〈0.05）.There was no significant difference in the SAS or SDS score between the two groups of elderly hospitalized patients before the intervention;while the SAS and SDS scores of the observation group were significantly better than those of the control group after the intervention（P〈0.05）.CONCLUSION The six sigma management mode can effectively reduce the incidence of pulmonary infections in the elderly hospitalized patients,raise the patients′satisfaction with the intervention as well as the mastery degree of infection control knowledge,and reduce the incidence of negative emotions;it is an effective management method for control of the pulmonary infections in the elderly hospitalized patients.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第2期455-457,共3页
Chinese Journal of Nosocomiology
基金
山东省自然科学基金资助项目(Y2006C02)
关键词
六西格玛管理
老年患者
护理
肺部感染
Six sigma management
Elderly patient
Nursing
Pulmonary infection
