品管圈活动对降低阴道分娩后尿潴留发生率的效果(1)
[摘要] 目的 探讨应用品管圈活动对降低分娩后尿潴留发生率的应用效果。 方法 由8名护理人员组成一个品管圈活动小组，确定降低阴道分娩后尿潴留发生率为活动主题，对活动前阴道分娩尿潴留发生率较高的原因进行统计分析并制定整改措施。 结果 品管圈活动后出现尿潴留情况(6%)与品管圈活动前出现尿潴留情况(18%)相比明显较低，差异有统计学意义(P<0.05)；施行品管圈活动后，医护人员的手法运用、解决问题能力、沟通协调、团队凝聚力、责任和信心均有了明显的提高，差异有统计学意义(P<0.05)。 结论 应用品管圈活动在降低阴道分娩后尿潴留发生率的效果显著，安全可靠，值得推广。
[关键词] 品管圈活动；阴道分娩；尿潴留
[中图分类号] R473.71 [文献标识码] B [文章编号] 2095-0616(2015)17-129-04
Decreasing effect of quality control circle activity on urinary retention incidence after vaginal delivery
, http://www.100md.com
LIN Xiaomei LIANG Chunming LUO Qili
Department of Gynecology and Obstetrics，the Third Affiliated Hospital of Guangzhou Medical University，Guangzhou 510150，China
[Abstract] Objective To study the application effect of quality control circle(QCC) activity on the decreasing of urinary retention incidence after vaginal delivery. Methods To make a QCC activity group with 8 nursing staff，to confirm the decreasing on urinary retention incidence as the activity theme，to make statistical analysis of the causes of higher urinary retention incidence after vaginal delivery before the QCC activity and to formulate reform measure. Results The situation of urinary retention after the QCC activity(6%) was obviously lower than which before QCC activity(18%)，the differences was statically significant(P<0.05).Medical staffs' praxes of technique， problem-solving ability，communication and coordination，team agglomeration， responsibility and confidence after the QCC activity were obviously higher than which before QCC activity，the differences were statically significant(P<0.05). Conclusion QCC activity on decreasing of urinary retention incidence after vaginal delivery has significantly application effect，is safe and reliable，is worthy of popularization.
, 百拇医药
[Key words] QCC；Vaginal delivery；Urinary retention
品管圈就是由相同、相近或相互补之工作场所的人们自动自发组成数人一圈的小圈团体，围绕企业经营战略和现场存在的问题，全体合作，集思广益，按照一定的活动程序组织改进质量[1]。临床上，尿潴留是产后6h内因各种原因导致的暂时性排尿功能障碍，使部分或全部尿液不能从膀胱内排出，残余尿>100mL。近几年来，因独生女孕妇较多及社会因素，产后尿潴留的发生人数不断增加，如何更好的预防该并发症的发生，已成为当务之急[2]。因此，我科为降低阴道分娩后尿潴留发生率，应用品管圈活动达到了一定效果，现报道如下。
1 资料与方法
1.1 一般资料
第一阶段选取2013年6～10月在我院接受阴道分娩后入住我科的50例产妇为对照组进行数据收集。第二阶段选取2014年1～6月入住我科的阴道分娩产妇50例为研究组。对照组产妇20～38岁，平均(29.0±6.5)岁，孕周为37～42周，平均为(38.0±1.2)周；研究组产妇22～36岁，平均(30.0±5.9)岁，孕周为37～43周，平均为(38.0±1.4)周。本研究经本院医学伦理委员会批准后实施，所有产妇均对本次研究所采取的分组方法及护理干预措施均知情同意。两组产妇均排除全身各器官功能障碍、精神障碍及恶性肿瘤。两组对象一般资料之间进行比较，差异无统计学意义(P>0.05)。
1.2 方法
1.2.1 成立品管圈小组 本次品管圈的小组由8名成员组成，包括辅导员1名，圈长1名，圈员6名，年龄23～43岁；其中本科学历4名，大专学历4名；3名为主管护师，2名护师，3名护士。活动的时间是利用每周五下班时间1～2h或微信群进行沟通、交流：以降低分娩后尿潴留的发生作为本次活动的主题。, http://www.100md.com(林小美?梁春明?罗启莉)
[关键词] 品管圈活动；阴道分娩；尿潴留
[中图分类号] R473.71 [文献标识码] B [文章编号] 2095-0616(2015)17-129-04
Decreasing effect of quality control circle activity on urinary retention incidence after vaginal delivery
, http://www.100md.com
LIN Xiaomei LIANG Chunming LUO Qili
Department of Gynecology and Obstetrics，the Third Affiliated Hospital of Guangzhou Medical University，Guangzhou 510150，China
[Abstract] Objective To study the application effect of quality control circle(QCC) activity on the decreasing of urinary retention incidence after vaginal delivery. Methods To make a QCC activity group with 8 nursing staff，to confirm the decreasing on urinary retention incidence as the activity theme，to make statistical analysis of the causes of higher urinary retention incidence after vaginal delivery before the QCC activity and to formulate reform measure. Results The situation of urinary retention after the QCC activity(6%) was obviously lower than which before QCC activity(18%)，the differences was statically significant(P<0.05).Medical staffs' praxes of technique， problem-solving ability，communication and coordination，team agglomeration， responsibility and confidence after the QCC activity were obviously higher than which before QCC activity，the differences were statically significant(P<0.05). Conclusion QCC activity on decreasing of urinary retention incidence after vaginal delivery has significantly application effect，is safe and reliable，is worthy of popularization.
, 百拇医药
[Key words] QCC；Vaginal delivery；Urinary retention
品管圈就是由相同、相近或相互补之工作场所的人们自动自发组成数人一圈的小圈团体，围绕企业经营战略和现场存在的问题，全体合作，集思广益，按照一定的活动程序组织改进质量[1]。临床上，尿潴留是产后6h内因各种原因导致的暂时性排尿功能障碍，使部分或全部尿液不能从膀胱内排出，残余尿>100mL。近几年来，因独生女孕妇较多及社会因素，产后尿潴留的发生人数不断增加，如何更好的预防该并发症的发生，已成为当务之急[2]。因此，我科为降低阴道分娩后尿潴留发生率，应用品管圈活动达到了一定效果，现报道如下。
1 资料与方法
1.1 一般资料
第一阶段选取2013年6～10月在我院接受阴道分娩后入住我科的50例产妇为对照组进行数据收集。第二阶段选取2014年1～6月入住我科的阴道分娩产妇50例为研究组。对照组产妇20～38岁，平均(29.0±6.5)岁，孕周为37～42周，平均为(38.0±1.2)周；研究组产妇22～36岁，平均(30.0±5.9)岁，孕周为37～43周，平均为(38.0±1.4)周。本研究经本院医学伦理委员会批准后实施，所有产妇均对本次研究所采取的分组方法及护理干预措施均知情同意。两组产妇均排除全身各器官功能障碍、精神障碍及恶性肿瘤。两组对象一般资料之间进行比较，差异无统计学意义(P>0.05)。
1.2 方法
1.2.1 成立品管圈小组 本次品管圈的小组由8名成员组成，包括辅导员1名，圈长1名，圈员6名，年龄23～43岁；其中本科学历4名，大专学历4名；3名为主管护师，2名护师，3名护士。活动的时间是利用每周五下班时间1～2h或微信群进行沟通、交流：以降低分娩后尿潴留的发生作为本次活动的主题。, http://www.100md.com(林小美?梁春明?罗启莉)