基于计划-实施-检查-处理循环管理的护理干预应用于头位异常产妇的效果

目的分析基于计划-实施-检查-处理循环管理的护理干预应用于头位异常产妇的效果。方法随机选取2017年5月至2018年5月在湖北省黄冈市中心医院进行建档分娩的头位异常产妇152例,分成试验组与对照组,各76例。对照组行常规护理干预,试验组在对照组的基础上加用PDCA循环管理。比较两组产妇或胎儿的基本情况、产妇的分娩方式和结局、盆底功能锻炼依从性、盆底肌力、尿失禁情况和性生活质量。结果试验组阴道分娩患者显著多于对照组,子痫、产后出血患者显著少于对照组;两组产妇生产后3个月后盆底功能锻炼依从性、盆底肌力比较,差异均有统计学意义(均P<0.05);随着时间的迁移,盆底功能锻炼的依从性、盆底肌力呈现显著好转趋势。生产后3个月比较,试验组的盆底功能锻炼依从性、盆底肌力显著优于对照组;试验组患者生产后3个月的尿失禁情况显著优于对照组,性生活质量显著高于对照组,差异均有统计学意义(均P<0.05)。结论PDCA循环管理护理较常规护理对盆底功能的恢复更好,能有效提高患者的生活质量。

Effect of nursing intervention based on Plan-Do-Check-Action cycle management applied to parturient with abnormal head position

Objective To analyze the effect of nursing intervention based on Plan-Do-Check-Action cycle management applied to parturient with abnormal head position.Methods From May 2017 to May 2018,152 patients with abnormal head position who gave birth in Central Hospital of Huanggang City,Hubei Province were randomly selected and divided into experimental group and control group,76 cases of each group.The control group received routine nursing intervention,and the experimental group received PDCA circulation management on the basis of the control group.The basic conditions of puerpera or fetus,delivery mode and outcome of puerpera,pelvic floor exercise compliance,pelvic floor muscle strength,urinary incontinence and sexual life quality were compared between the two groups.Results The experimental group had significantly more vaginal delivery patients than the control group,and the patients with eclampsia and postpartum hemorrhage were significantly less than the control group.There were statistically significant differences between the two groups in pelvic floor functional exercise compliance and pelvic floor muscle strength 3 months after delivery(P<0.05).With the migration of time,the compliance of pelvic floor functional exercise and pelvic floor muscle strength showed a significant improvement trend.After 3 months of production,the pelvic floor exercise compliance and pelvic floor muscle strength of the experimental group were significantly better than that of the control group.The urinary incontinence of the experimental group was significantly better than that of the control group 3 months after the birth,and the quality of sexual life was significantly higher than that of the control group,with statistically significant differences(P<0.05).Conclusions PDCA circulation management nursing is better than conventional nursing for the recovery of pelvic floor function,can effectively improve the quality of life of patients.