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品管圈活动在产妇产后乳腺疏通中的作用
引用本文:朱珠,周晖,张翔娣,周文胜,田莹莹.品管圈活动在产妇产后乳腺疏通中的作用[J].中国护理管理,2013(6):5-8.
作者姓名:朱珠  周晖  张翔娣  周文胜  田莹莹
作者单位:[1]南京市妇幼保健院护理部,210004 [2]南京市妇幼保健院产科病区,210004
摘    要:目的:探讨品管圈活动在产妇产后乳腺疏通中的应用效果。方法 :成立品管圈,确立"降低产后乳腺肿胀的发生率"为活动主题,进行现况调查、要因分析、拟定对策、运用PDCA循环的原则进行对策的实施和效果核查、标准化处置等。结果 :实施品管圈活动后,产后乳腺肿胀的发生率从90.29%降至61.09%(P<0.01);乳腺肿胀持续时间从32.94h降至26.60h(P<0.01);纯母乳喂养率从48.06%提高至75.57%(P<0.01)。乳腺肿胀程度、疼痛程度均有明显改善。结论:品管圈活动可降低产后乳腺肿胀的发生率,减少乳腺肿胀持续时间,提高纯母乳喂养率,对产后母婴健康起到良好的促进作用;有助于提高护士工作的主动性和解决临床问题的能力。

关 键 词:品管圈  产后乳腺肿胀  护理质量

The effect of Quality Control Circle on postpartum breast dredging
Institution:ZHU Zhu, ZHOU Hui, ZHANG Xiang-di, et al. // Nursing Department, Nanjing Maternity and Child Health Care Hospital, Nanjing, 210004 China
Abstract:Objective: To explore the effect of Quality Control Circle(QCC) on postpartum breast dredging.Methods: We set up a quality control circle and established a theme of "decreasing the incidence of postpartum breast swelling".We followed the steps of current status investigation,main causes analysis,making proposed countermeasures,and countermeasures implementation,supervision and standardization according to the PDCA principle.Results: The rate of postpartum breast swelling declined from 90.29% to 61.09%(P0.01).The mean duration of breast swelling decreased from 32.94 to 26.60 hours(P0.01).Pure breastfeeding rate increased from 48.06% to 75.57%(P0.01).The extent of breast swelling and pain were statistically improved.Conclusion: QCC could decrease the incidence of postpartum breast swelling and breast swelling durations,improve the rate of pure breastfeeding,and promote maternal and child health.
Keywords:Quality Control Circle  postpartum breast swelling  nursing quality
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