质量持续改进在提高低年资助产士会阴伤口缝合技术中的效果观察  

Observation on the effect of continuous quality improvement in improving perineal wound suture technique of junior midwives

作　　者：史明春 Shi Mingchun(Department of Obstetrics and Gynecology,Affiliated Hospital of Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学附属医院妇产科,江苏南京210000

出　　处：《实用妇科内分泌电子杂志》2021年第24期55-57,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探讨低年资助产士实施质量持续改进的管理方式对自然分娩产妇会阴伤口缝合技术的效果。方法 选取120例自然分娩产妇,按照抽签法将其分为对照组与试验组,每组60例。对照组由产房低年资助产士采用常规管理。试验组由产房低年资助产士采用质量持续改进管理方式,成立质量控制小组,对每例产妇会阴伤口愈合不良原因进行分析,并对低年资助产士进行针对性培训。对比两组产妇会阴伤口缝合情况、产后第3天会阴伤口愈合情况及产后远期会阴伤口并发症发生情况。结果 试验组会阴缝合率为86.67%,对照组会阴缝合率为90.00%,对比差异无统计学意义(P>0.05)。试验组会阴缝合时间明显短于对照组,会阴疼痛评分低于对照组,差异具有统计学意义(P<0.05)。试验组产后第3天会阴伤口愈合优于对照组,且甲级愈合率为100%,明显高于对照组的75.93%,差异有统计学意义(P<0.05)。试验组产后远期会阴伤口并发症发生率为5.77%,明显低于对照组的37.04%,差异有统计学意义(P<0.05)。结论 针对低年资助产士实施质量持续改进的管理方式效果显著,有利于缩短产妇会阴伤口缝合时间及促进会阴伤口良好愈合,对维持良好的医护患关系也具有积极意义。Objective To explore the effect of continuous quality improvement management by junior midwives on perineal wound suture in spontaneous delivery women.Methods 120 parturients with natural childbirth were selected and divided into control group and experimental group according to the lottery method,with 60 cases in each group.The control group received routine management from junior midwives in the delivery room.In the experimental group,the junior midwives in the delivery room adopted quality continuous improvement management,and established a quality control team to analyze the causes of poor perineal wound healing in each puerpera,and provided targeted training to the junior midwives.Perineal wound suture,perineal wound healing on the 3 rd day after delivery and perineal wound complications in the long term were compared between the two groups.Results The perineal suture rate was 86.67% in the experimental group and 90.00% in the control group,and the difference was not statistically significant(P> 0.05).The perineal suture time of the experimental group was significantly shorter than that of the control group,and the perineal pain score was lower than that of the control group,and the differences were statistically significant(P<0.05).The perineal wound healing of the experimental group was better than that of the control group on the third day after delivery,and the grade A healing rate was 100%,which was significantly higher than that of the control group(75.93%),and the difference was statistically significant(P<0.05).The incidence of perineal wound complications in the experimental group was 5.77%,which was significantly lower than 37.04% in the control group,and the difference was statistically significant(P<0.05).Conclusion The management mode of continuous quality improvement for junior midwives has significant effect,which is conducive to shortening the time of perineal wound suture and promoting the good healing of perineal wound,and also has positive significance for maintaining a good relationship b

关 键 词：产房护理 质量持续改进 会阴缝合技术 

分 类 号：R473.71[医药卫生—护理学]