PDCA循环管理结合加速康复护理模式在剖宫产围手术期的应用  

Application of PDCA cycle management combined with accelerated rehabilitation nursing mode in the perioperative period of caesarean section

作　　者：蔡华[1] 陈丽平[1] 陆燕 CAI Hua;CHEN Liping;LU Yan(Department of Obstetrics,the Second Affiliated Hospital of Nantong University,Jiangsu,Nantong 226001,China)

机构地区：[1]江苏省南通大学第二附属医院产科,江苏南通226001

出　　处：《中国医药科学》2023年第23期142-146,共5页China Medicine And Pharmacy

基　　金：江苏省南通市卫生健康委员会科研课题(MB2021014)。

摘　　要：目的构建计划-执行-检查-处理(PDCA)循环管理结合加速康复护理的新型护理模式,验证其在剖宫产围手术期康复中的效果。方法选取2022年1—7月南通大学第二附属医院收治的160例剖宫产产妇为研究对象,采用随机数表法分为研究组和对照组,每组各80例。对照组采用常规护理,研究组采用新型加速康复护理,观察两组产妇的术后喂养、恢复、切口疼痛、并发症、住院情况及护理满意度等指标。结果研究组产妇母乳喂养率高于对照组,乳房胀痛发生率低于对照组,差异有统计学意义(P<0.05)。研究组产妇中泌乳始动时间<24 h的占比高于对照组,泌乳始动时间在24~48 h的占比低于对照组,差异有统计学意义(P<0.05)。研究组产妇术后首次肛门排气、排便、自主排尿、下床活动、切口愈合时间短于对照组,术后12 h视觉模拟评分法(VAS)评分、住院天数及住院费用低于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。但研究组产妇住院护理满意度高于对照组,差异有统计学意义(P<0.05)。结论新型加速康复护理模式能够改善围产期产妇的泌乳功能,加速围手术期恢复,减少住院时间及费用,提高护理满意度,具有很高的临床应用和推广价值。Objective To construct a new nursing mode of plan-do-check-action(PDCA)cycle management combined with accelerated rehabilitation nursing,and to verify its effect in the perioperative rehabilitation of caesarean section.Methods A total of 160 pregnant women with caesarean section who were admitted to the Second Affiliated Hospital of Nantong University from January to July 2022 were selected as the research objects.They were randomly divided into the study group and the control group using a random number table method,with 80 cases in each group.The control group received conventional nursing,and the study group received new accelerated rehabilitation nursing.Postoperative feeding,recovery,incision pain,complications,hospitalization,nursing satisfaction and other indicators of the two groups of pregnant women were observed.Results The breastfeeding rate of the study group was higher than that of the control group,and the incidence of breast swelling and pain was lower than that in the control group,with statistically significant differences(P<0.05).In terms of lactation initiation time,the proportion of pregnant women in the study group who had less than 24 hours of lactation initiation time was higher than that in the control group,and the proportion of pregnant women in the study group who had 24-48 hours of lactation initiation time was lower than that in the control group,with statistically significant differences(P<0.05).The first postoperative anal discharge,defecation,spontaneous urination,off-bed mobility,incision healing time,of the study group were all shorter than those of the control group,and the visual analogue scale(VAS)score at 12 hours after surgery,postoperative hospital stay and hospitalization expenses were all lower than those of the control group,with statistically significant differences(P<0.05).There was no difference in the incidence of postoperative complications(P>0.05).However,the satisfaction of hospitalization nursing for the study group was higher than that of the control group,with

关 键 词：PDCA循环管理 加速康复外科 护理满意度 围手术期 

分 类 号：R473.71[医药卫生—护理学]