产科急诊PDCA循环护理措施对前置胎盘大出血的干预分析  

Intervention analysis of PDCA circulation nursing measures for placenta previa major hemorrhage in obstetric emergency

作　　者：陈燕婷 何健华 卢翠桃 丁蓉 李芷莹 禤倩玲 CHEN Yanting;HE Jianhua;LU Cuitao;DING Rong;LI Zhiying;XUAN Qianling(Department of Obstetrics,People's Hospital of Sanshui District in Foshan City,Guangdong,Foshan 528100,China)

机构地区：[1]广东省佛山市三水区人民医院产科,广东佛山528100

出　　处：《中国医药科学》2020年第3期113-115,126,共4页China Medicine And Pharmacy

基　　金：广东省佛山市科技计划项目(医学类科技攻关)(2017AB001355)。

摘　　要：目的分析在产科急诊中采用戴明环(PDCA)循环护理对前置胎盘大出血进行干预的影响。方法选取2017年9月~2018年11月在我院进行治疗的前置胎盘患者56例为研究对象。按照随机数字表法将其分为对照组和研究组,每组28例。对照组接受常规护理,研究组于对照组基础上采用PDCA循环护理措施进行干预。统计对比两组干预后患者的出血情况、护理满意度以及母婴健康状况。结果研究组患者产后大出血率(39.29%)显著低于对照组(92.86%),差异有统计学意义(P<0.05);研究组满意度(96.43%)显著高于对照组(71.43%),差异有统计学意义(P<0.05);研究组新生儿身体状况显著优于对照组,差异有统计学意义(P<0.05)。结论产科急诊PDCA循环护理措施对前置胎盘大出血进行干预效果更好,能够有效预防患者大出血,提高新生儿的身体机能,提高病患满意度,临床中值得推广。Objective To analyze the effect of Deming Circle(PDCA)circulation nursing intervention on placenta previa major hemorrhage in obstetric emergency.Methods 56 patients with placenta previa who were treated in our hospital from September 2017 to November 2018 were selected as subjects of this study.The patients were randomly divided into control group and study group according to the random number table method,with 28 cases in each group.The control group received conventional nursing,and the study group was treated with PDCA circulation nursing measures on the basis of the control group.The hemorrhage,nursing satisfaction,as well as maternal and child health after intervention were statistically compared.Results The postpartum hemorrhage rate in the study group(39.29%)was significantly lower than that in the control group(92.86%),and the difference was statistically significant(P<0.05).The satisfaction of the study group(96.43%)was significantly higher than that of the control group(71.43%),and the difference was statistically significant(P<0.05).The physical condition of the newborns in the study group was significantly better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The PDCA circulation nursing measures in obstetric emergency are more effective in the intervention of placenta previa major hemorrhage,which can effectively prevent patients from major hemorrhage,improve the physical function of newborns,improve patient satisfaction,and is worthy of promotion in clinical practice.

关 键 词：前置胎盘大出血 戴明环 妊娠结局 循环护理 

分 类 号：R47[医药卫生—护理学]