品质管理活动圈对降低会阴侧切率的应用效果  

The application effect of quality control circle in reducing the rate of lateral episiotomy

作　　者：任惠琼[1] 贾金平[1] 

机构地区：[1]广州市花都区妇幼保健院产科,广东广州510800

出　　处：《中国计划生育和妇产科》2015年第3期53-56,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨品质管理活动圈(quality control circle,QCC)对降低会阴侧切率及提高产科护理工作质量的应用效果。方法选择广州市花都区妇幼保健院2012年顺产的3 871例产妇为对照组,2013年起实施QCC后顺产的3 600例产妇为观察组。回顾性分析比较两组产妇的会阴侧切率、会阴裂伤程度、阴道血肿发生率、产后疼痛、产后尿潴留发生率、产妇满意度及新生儿窒息率等指标。结果观察组会阴侧切率19.0%(684/3 600),产后3 d伤口疼痛发生率9.9%(356/3 600),尿潴留发生率1.3%(45/3 600),会阴水肿发生率2.0%(73/3 600),均低于对照组[分别为59.2%(2 292/3 871)、29.7%(1 151/3 871)、2.6%(102/3 871)、6.0%(232/3 871)];会阴Ⅰ度裂伤率55.9%(2 013/3 600)、会阴无裂伤率20.4%(735/3 600),产妇满意度97.6%(3 515/3 600)均高于对照组[分别为31.3%(1 212/3 871)、9.5%(367/3 871)、89.5%(3 465/3 871)](均P<0.05);两组新生儿并发症发生率差异无统计学意义(P>0.05)。结论开展QCC不仅能降低会阴侧切率,还能提高产科护理工作质量,提高产妇的满意度。Objective To explore effect of quality control circle（ QCC） in reducing the rate of lateral episiotomy and improving the obstetrical nursing quality. Methods 3 871 puerperas with natural labor in the Maternal and Child Health Hospital of Huadu District in 2012 were selected as the control group,3 600 puerperas with natural labor after the implementation of QCC from 2013 were selected as the observation group. The rate of lateral episiotomy,degree of perineal laceration,incidence of vaginal hematoma,postpartum pain,incidence of postpartum urinary retention,maternal satisfaction,incidence of neonatal asphyxia were retrospectively analyzed. Results The rate of lateral episiotomy [19. 0%（ 684 /3 600） ],incidence of postpartum pain after 3 days[9. 9%（ 356 /3 600） ],incidence of postpartum urinary retention[1. 3%（ 45 /3 600） ],incidence of vaginal hematoma [2. 0%（ 73 /3 600） ] of the observation group were lower than that of the control group [59. 2%（ 2 292 /3 871） 、29. 7%（ 1 151 /3 871） 、2. 6%（ 102 /3 871） 、6. 0%（ 232 /3 871） respectively]. The incidence of perineal lacerationⅠ degrees [55. 9%（ 2 013 /3 600） ],incidence of non perineal laceration[20. 4%（ 735 /3 600） ],maternal satisfaction[97. 6%（ 3 515 /3 600） ] of observation group were higher than that of control group [31. 3%（ 1 212 /3 871） 、9. 5%（ 367 /3 871） 、89. 5%（ 3 465 /3 871） respectively]（ all P〈0. 05）. The differences in neonatal complication rate between two groups had no statistical significance（ P〉0. 05）. Conclusion QCC is effective in reducing the incidence of lateral episiotomy and improving the obstetrical nursing quality,which can improve the maternal satisfaction.

关 键 词：会阴侧切 品质管理活动圈 产科护理 

分 类 号：R717[医药卫生—妇产科学]