医院质控系统结合PDCA循环质量管理在初产妇导乐分娩中的应用研究

摘要

Objective:To explore the application effect of PDCA quality management combined with hospital quality control system in Doula delivery of primipara.Methods:Our hospital started to implement the quality management model of PDCA from Jul 2014. According to the different nursing management methods, primipara were divided into treatment group and control group. Primipara in control group from Jan 2013 to Jun 2014 received the traditional nursing mode,primipara in the treatment group from Jul 2014 to Sep 2015 received PDCA quality management combined with hospital quality control system in Doula delivery.Nursing satisfaction, the production process of the status, mode of delivery, postpartum hemorrhage, neonatal outcome were compared between the two groups.Results:In the treatment group,the first,second,third and the total labor time were significantly shorter than that in the control group (P<0��05).The probability of natural childbirth way in the treatment group was significantly higher than that in the control group,postpartum hemorrhage amount was significantly less than that in the control group (P<0��05),the rate of neonatal asphyxia was significantly lower than that in the control group,Apgar score was significantly higher than that in the control group (P<0��05). Nursing satisfaction in the treatment group was higher than that in the control group (P<0��05). Conclusion:The clinical efficacy of PDCA quality management combined with hospital quality control system in Doula delivery of primipara can be effectively improved,can significantly shorten labor time,and improve the neonatal outcome.%目的：探讨医院质控系统结合PDCA循环质量管理在初产妇导乐分娩中的临床效果。方法：我院于2014年7月开始实行新型的PDCA循环质量管理模式，按照护理管理方法的不同分为治疗组和对照组。将2013年1月至2014年6月在我院分娩的初产妇为对照组，采用传统护理模式；2014年7月至2015年9月在我院分娩的初产妇为治疗组，采用结合我院质控系统在PDCA循环质量管理下实施导乐分娩。对比2组产妇的护理满意度，并观察各产程所用时情况、分娩方式、产后出血量、新生儿结局情况。结果：治疗组第一、第二、第三及总产程时间均显著短于对照组（P＜0.05）；阴道分娩率显著高于对照组，产后出血量显著少于对照组（P＜0.05）；新生儿窒息发生率显著低于对照组，窒息（Apgar）评分显著高于对照组（P＜0.05）；治疗组在各项护理工作指标的满意度均高于对照组（P＜0.05）。结论：采用医院质控系统结合PDCA循环质量管理对于产妇导乐分娩能够有效提高的临床疗效，明显缩短产程的时间，并显著改善新生儿结局。