FOCUS-PDCA程序在降低会阴侧切率中的应用(1)
摘要：目的 探讨FOCUS-PDCA程序在降低会阴侧切率中的应用效果。方法 将我院2017年1月～10月运用FOCUS-PDCA程序管理前经阴道分娩的产妇2525例设为对照组，将2018年1月～10月运用FOCUS-PDCA程序管理后经阴道分娩的产妇1974例设为观察组，比较两组会阴侧率、会阴Ⅲ裂伤发生率、新生儿窒息发生率以及护理人员自评综合能力。结果 观察组会阴侧切率(12.66%)低于对照组(25.03%)，差异有统计学意义(P<0.05);观察组会阴Ⅲ裂伤发生率(0)及新生儿窒息发生率(0.05%)低于对照组的0.04%、0.08%，但两组比较差异均无统计学意义(P>0.05);观察组护理人员自评综合能力各项评分均高于对照组，差异有统计学意义(P<0.05)。结论 运用FOCUS-PDCA程序后，虽然产妇会阴Ⅲ裂伤发生率、新生儿窒息发生率无明显下降，但是该程序的运用降低了产妇阴道分娩会阴侧切率，且可以有效提高护理人员的综合能力，有利于临床产科护理质量持续优化。
关键词：FOCUS-PDCA程序;产妇;会阴侧切;会阴裂伤
, 百拇医药
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.045
文章編号：11006-1959(2018)24-0151-03
Abstract：Objective To explore the application effect of FOCUS-PDCA procedure in reducing the rate of perineal cut. Methods The 2525 cases of vaginal delivery before the administration of FOCUS-PDCA program in our hospital from January to October 2017 were used as the control group. The women who were vaginally delivered after the FOCUS-PDCA procedure were administered from January to October 2018. 1974 cases were set as observation group， and the rate of perineal side， perineal III laceration， the incidence of neonatal asphyxia and the comprehensive ability of self-evaluation of nursing staff were compared between the two groups. Results The perineal cut rate (12.66%) in the observation group was lower than that in the control group (25.03%)， the difference was statistically significant (P<0.05). The incidence of perineal III laceration in the observation group (0) and the incidence of neonatal asphyxia (0.05%)was lower than 0.04% and 0.08% of the control group， but there was no significant difference between the two groups (P>0.05). The scores of the self-evaluation comprehensive ability of the nursing staff in the observation group were higher than the control group，the difference was statistically significant(P<0.05). Conclusion After the FOCUS-PDCA procedure， although the incidence of maternal perineal III laceration and the incidence of neonatal asphyxia did not decrease significantly， the application of this procedure reduced the rate of perineal cut in the vaginal delivery of the mother， and can effectively improve the comprehensive ability of the nursing staff. Conducive to the continuous optimization of clinical maternity care quality., 百拇医药(芮青美)
关键词：FOCUS-PDCA程序;产妇;会阴侧切;会阴裂伤
, 百拇医药
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.24.045
文章編号：11006-1959(2018)24-0151-03
Abstract：Objective To explore the application effect of FOCUS-PDCA procedure in reducing the rate of perineal cut. Methods The 2525 cases of vaginal delivery before the administration of FOCUS-PDCA program in our hospital from January to October 2017 were used as the control group. The women who were vaginally delivered after the FOCUS-PDCA procedure were administered from January to October 2018. 1974 cases were set as observation group， and the rate of perineal side， perineal III laceration， the incidence of neonatal asphyxia and the comprehensive ability of self-evaluation of nursing staff were compared between the two groups. Results The perineal cut rate (12.66%) in the observation group was lower than that in the control group (25.03%)， the difference was statistically significant (P<0.05). The incidence of perineal III laceration in the observation group (0) and the incidence of neonatal asphyxia (0.05%)was lower than 0.04% and 0.08% of the control group， but there was no significant difference between the two groups (P>0.05). The scores of the self-evaluation comprehensive ability of the nursing staff in the observation group were higher than the control group，the difference was statistically significant(P<0.05). Conclusion After the FOCUS-PDCA procedure， although the incidence of maternal perineal III laceration and the incidence of neonatal asphyxia did not decrease significantly， the application of this procedure reduced the rate of perineal cut in the vaginal delivery of the mother， and can effectively improve the comprehensive ability of the nursing staff. Conducive to the continuous optimization of clinical maternity care quality., 百拇医药(芮青美)