品管圈在产房护理质量持续改进中的应用价值探析  

Application value of quality control circle in continuous improvement of nursing quality in a delivery room

作　　者：孙素丽[1] 何薪 杨亚丽[1] SUN Su-li;HE Xin;YANG Ya-li(Department of Obstetrics,Luohe Central Hospital,Luohe 462000,Henan,China)

机构地区：[1]漯河市中心医院产科,河南漯河462000

出　　处：《中国校医》2022年第6期418-419,455,共3页Chinese Journal of School Doctor

基　　金：河南省医学科技攻关计划(2018020869)。

摘　　要：目的 探讨品管圈(QCC)在产房护理质量持续改进中的应用价值。方法 将2019年6月—2020年4月本院实施常规产科护理期间接收的42例待产妇设为对照组,2020年5月—2021年3月开展QCC活动期间接收的42例待产妇设为观察组。对比两组产妇心理状态、妊娠结局及护理满意度。结果 观察组干预后焦虑(SAS)、抑郁(SDS)评分低于对照组,差异有统计学意义[(34.28±6.43)vs(42.15±7.48),t =5.171;(37.66±6.49)vs(44.51±7.80),t =4.375,P 均<0.001];观察组不良妊娠结局发生率 7.17%,低于对照组的 23.81%,差异有统计学意义(χ^(2)=4.459,P=0.035);观察组护患沟通能力、解决问题能力、专业水平、纽卡斯尔护理服务满意度量表(NSNS)评分均高于对照组,差异均有统计学意义[(95.62±1.17)vs(93.05±1.66),(94.19±1.40)vs(92.33±1.52),(96.22±1.03)vs(94.25±1.28),(90.30±1.12)vs(86.49±1.78),P均<0.001]。结论 QCC活动在产房护理质量持续改进中的应用价值较高,能够改善产妇心理状态,预防不良妊娠结局,从而提高护理满意度。ObjectiveTo explore the application value of quality control circle (QCC) in the continuous improvement of nursing quality in a delivery room.MethodsTotally 42 expectant mothers received during the routine obstetric care in our hospital from June 2019 to April 2020 were set as a control group,and 42 expectant mothers received during the QCC activities from May 2020 to March 2021 were set as an observation group. The psychological status,pregnancy outcome and nursing satisfaction of the two groups were compared.ResultsThe scores of anxiety (SAS) and depression (SDS) in the observation group were significantly lower than those in the control group [(34.28 ± 6.43) vs. (42.15 ± 7.48),t = 5.171;(37.66 ±6.49) vs. (44.51 ± 7.80),t = 4.375,both P < 0.001]. The incidence of adverse pregnancy outcomes in the observation group was 7.17%,which was lower than 23.81% in the control group (χ^(2)= 4.459,P = 0.035). The scores of nurse patient communication ability,problem-solving ability,professional level and Newcastle nursing service satisfaction scale (NSNS) in the observation group were significantly higher than those in the control group [(95.62 ± 1.17) vs. (93.05 ± 1.66),(94.19 ± 1.40) vs.(92.33 ± 1.52),(96.22 ± 1.03) vs. (94.25 ± 1.28),(90.30 ± 1.12) vs. (86.49 ± 1.78),all P < 0.001].ConclusionsThe QCC activity has high application value in the continuous improvement of nursing quality in the delivery room. It can improve maternal psychological state,prevent adverse pregnancy outcomes,and improve nursing satisfaction.

关 键 词：产房护理 质量持续改进 品管圈 心理状态 妊娠结局 护理满意度 

分 类 号：R47[医药卫生—护理学]