摘要
目的观察PDCA循环管理的护理干预对头位异常产妇预后、母婴结局的影响。方法将82例头位异常产妇随机分为对照组与观察组,各41例。对照组采用常规助产护理,观察组采用PDCA循环管理的护理干预。比较两组分娩方式、母婴结局、产后胃肠功能恢复情况及焦虑、抑郁情况。结果观察组阴道分娩率显著高于对照组,剖宫产率显著低于对照组(P<0.05)。观察组胎盘早剥、产后出血、新生儿窒息、子痫发生率显著低于对照组(P<0.05)。观察组产后肛门排气时间、肠鸣音恢复时间均显著短于对照组(P<0.05)。护理后,两组SAS、SDS评分显著降低,且观察组低于对照组(P<0.05)。结论头位异常产妇采用PDCA循环管理的护理干预,可显著降低剖宫产率,减少不良母婴结局,促进胃肠功能恢复,改善不良情绪,值得临床推广应用。
Objective To observe the effect of nursing intervention of PDCA cycle management on prognosis ofmaternal with abnormal head position and maternal and child outcomes. Methods Eighty -two cases of maternal withabnormal head position were randomly divided into control group and observation group, with 41 cases in each ruoup. Thecontrol group used routine midwifery nursing. The observation group used PDCA cycle management nursing intervention.The delivery methods, maternal and child outcomes, postpartum gastrointestinal function recovery and anxiety, depressionwere compared between the two groups. Results The vaginal delivery rate of the observation group was significantly higherthan that of the control group, and the rate of cesarean section in the observation group was significantly lower than that ofthe control group （P 〈0.05）. The incidences of placental abruption, postpartum hemorrhage, neonatal asphyxia andeclampsia in the observation group were significantly lower than those in the control group（P〈0.05）. The postpartum anusexhaust time and bowel sound recovery time in the observation group were significantly shorter than those in the controlgroup （P〈0.05）. The scores of SAS and SDS in the two groups significantly decreased, and those in the observation groupwere significantly lower than the control group （P〈0.05）. Conclusion The PDCA cycle management nursing interventioncan decrease the incidences of cesarean section and adverse maternal and fetal outcomes, promote the recovery ofgastrointestinal function, and improve bad mood. It is worthy of clinical application.
作者
屈振菊
郑红莲
QU Zhen-ju;ZHENG Hong-lian(Obstetrics Department,Jintai Hospital of Jintai District in Baoji,Baoji 721001;Jinhe Town Health Center of Jintai District,Baoji 721001,China)
出处
《临床医学研究与实践》
2018年第29期182-184,共3页
Clinical Research and Practice
关键词
PDCA循环管理
头位异常
母婴结局
PDCA cycle management
abnormal head position
maternal and child outcomes
