应用品管圈对降低产后尿潴留发生率的实践效果
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摘要
目的探讨应用品管圈对降低产后尿潴留发生率的实践效果。方法我院妇产科2018年1月成立了品管圈小组,寻找产后尿潴留的发生原因并进行整改,选取2017年1～10月应用品管圈前我院自然分娩2634例产妇作为对照组,并选取2018年1～10月应用品管圈后我院收治的自然分娩2498例产妇作为研究组,比较两组产后尿潴留发生率,并采用自制调查问卷调查比较两组的护理满意度评分。结果对照组自然分娩产妇中发生尿潴留113例,尿潴留发生率为4.29%,研究组自然分娩产妇中发生尿潴留34例,尿潴留发生率为1.36%,研究组尿潴留发生率低于对照组,差异有统计学意义(P<0.05)。研究组护理总满意度评分为(94.7±6.2)分,高于对照组产妇的(84.5±6.9)分,差异有统计学意义(P<0.05)。结论应用品管圈活动能有效改善护理质量,从而降低自然分娩产妇产后尿潴留的发生率,提高患者的护理满意度,值得临床推广应用。
Objective To explore the practical effect of quality control circle on reducing the incidence of postpartum urinary retention in natural delivery. Methods Since January 2018, a quality control group was set up in our hospital to find out the causes of postpartum urinary retention and to correct it. From January to October 2017, 2634 pregnant women with natural delivery in our hospital were selected as control group. And from January to October 2018, 2498 women with natural delivery after applying quality control ring in our hospital were selected as the study group. The incidence of postpartum uroschesis was compared between the two groups, and the nursing satisfaction score of the two groups was compared by self-made questionnaire. Results In the control group, there were 113 cases of urinary retention in 2634 cases of spontaneous delivery, and the incidence of urinary retention was 4.29%. In the study group, there were 34 cases of urinary retention in 2498 cases of spontaneous delivery, and the incidence of urinary retention was1.36%. The incidence of urinary retention in the study group was significantly lower than that in the control groups, the difference was statistically significant(P<0.05). The score of nursing satisfaction in the study group was(94.7 ±6.2)points, which was significantly higher than that in the control group(84.5±6.9) points, the difference was statistically significant(P<0.05). Conclusion The application of quality control circle can effectively improve the quality of nursing care, thus reducing the incidence of postpartum urinary retention in the parturient, and improving the patients′ satisfaction with nursing, which is worth popularizing and applying in clinical practice.
Objective To explore the practical effect of quality control circle on reducing the incidence of postpartum urinary retention in natural delivery. Methods Since January 2018, a quality control group was set up in our hospital to find out the causes of postpartum urinary retention and to correct it. From January to October 2017, 2634 pregnant women with natural delivery in our hospital were selected as control group. And from January to October 2018, 2498 women with natural delivery after applying quality control ring in our hospital were selected as the study group. The incidence of postpartum uroschesis was compared between the two groups, and the nursing satisfaction score of the two groups was compared by self-made questionnaire. Results In the control group, there were 113 cases of urinary retention in 2634 cases of spontaneous delivery, and the incidence of urinary retention was 4.29%. In the study group, there were 34 cases of urinary retention in 2498 cases of spontaneous delivery, and the incidence of urinary retention was1.36%. The incidence of urinary retention in the study group was significantly lower than that in the control groups, the difference was statistically significant(P<0.05). The score of nursing satisfaction in the study group was(94.7 ±6.2)points, which was significantly higher than that in the control group(84.5±6.9) points, the difference was statistically significant(P<0.05). Conclusion The application of quality control circle can effectively improve the quality of nursing care, thus reducing the incidence of postpartum urinary retention in the parturient, and improving the patients′ satisfaction with nursing, which is worth popularizing and applying in clinical practice.
引文
[1]陈海平,武彦.低位钳产术产后尿潴留的发生及影响因素分析[J].护理实践与研究,2016,13(4):91-93.
[2]丁丰华.FMEA护理管理模式对产后尿潴留的影响[J].护理实践与研究,2017,14(7):324-325.
[3]刘淳,于会勇,赵艳茹,等.品管圈在降低妇科腹腔镜术后尿潴留发生率中的应用[J].护理实践与研究,2015,12(3):125-126.
[4]秦翠利,叶红巧,徐艳,等.产后尿潴留病因分析及治疗护理临床观察[J].航空航天医学杂志,2017,28(9):1138-1139.
[5]兰文霞,王晓云.应用品管圈降低住院2型糖尿病患者低血糖发生率的实践[J].中国护理管理,2015,15(S1):78-80.
[6]宋玉波,姜淑芝,周平,等.护理干预在中西医治疗产后尿潴留中的临床效果观察[J].中国伤残医学,2016,24(6):134-135.
[7]姚健平.产后尿潴留的发生原因及防范处理进展[J].护理实践与研究,2016,13(21):27-29.
[8]史路路,周晓艳,陈静.个性化护理在肛周疾病术后降低尿潴留发生率的实践[J].心理医生,2016,22(24):212-213.
[9]尚剑,龙艳,章兰萍,等.失效模式与效应分析在产后尿潴留防范管理中的应用及效果[J].临床护理杂志,2016,17(1):49-50.
[10]荀禾香.品管圈在降低顺产后尿潴留发生率中的护理应用[J]实用临床护理学电子杂志,2017,2(7):753-756.
[11]李文华,法淑春,王凤艳,等.应用品管圈降低病房护士查对医嘱缺陷率的效果分析[J].解放军医药杂志,2016,18(S1):111-113.
[12]张碧霞,向彩霞,翟英俊.血液内科应用品管圈降低病房输血缺陷的作用[J].护理实践与研究,2018,15(1):144-146.
[13]谢晓君,阮海英.徐健PDCA在降低产后尿潴留发生率的效果分析[J].云南医药,2016,21(4):476-478.
[14]江丽萍,曾慧芳,叶丽华.产房内早期护理干预对产后尿潴留的影响效果研究[J].中国当代医药,2016,23(26):189-191.
[15]刘淑伟.品管圈活动在产后尿潴留患者风险管理中的应用[J].齐鲁护理杂志,2016,22(10):112-113.
[2]丁丰华.FMEA护理管理模式对产后尿潴留的影响[J].护理实践与研究,2017,14(7):324-325.
[3]刘淳,于会勇,赵艳茹,等.品管圈在降低妇科腹腔镜术后尿潴留发生率中的应用[J].护理实践与研究,2015,12(3):125-126.
[4]秦翠利,叶红巧,徐艳,等.产后尿潴留病因分析及治疗护理临床观察[J].航空航天医学杂志,2017,28(9):1138-1139.
[5]兰文霞,王晓云.应用品管圈降低住院2型糖尿病患者低血糖发生率的实践[J].中国护理管理,2015,15(S1):78-80.
[6]宋玉波,姜淑芝,周平,等.护理干预在中西医治疗产后尿潴留中的临床效果观察[J].中国伤残医学,2016,24(6):134-135.
[7]姚健平.产后尿潴留的发生原因及防范处理进展[J].护理实践与研究,2016,13(21):27-29.
[8]史路路,周晓艳,陈静.个性化护理在肛周疾病术后降低尿潴留发生率的实践[J].心理医生,2016,22(24):212-213.
[9]尚剑,龙艳,章兰萍,等.失效模式与效应分析在产后尿潴留防范管理中的应用及效果[J].临床护理杂志,2016,17(1):49-50.
[10]荀禾香.品管圈在降低顺产后尿潴留发生率中的护理应用[J]实用临床护理学电子杂志,2017,2(7):753-756.
[11]李文华,法淑春,王凤艳,等.应用品管圈降低病房护士查对医嘱缺陷率的效果分析[J].解放军医药杂志,2016,18(S1):111-113.
[12]张碧霞,向彩霞,翟英俊.血液内科应用品管圈降低病房输血缺陷的作用[J].护理实践与研究,2018,15(1):144-146.
[13]谢晓君,阮海英.徐健PDCA在降低产后尿潴留发生率的效果分析[J].云南医药,2016,21(4):476-478.
[14]江丽萍,曾慧芳,叶丽华.产房内早期护理干预对产后尿潴留的影响效果研究[J].中国当代医药,2016,23(26):189-191.
[15]刘淑伟.品管圈活动在产后尿潴留患者风险管理中的应用[J].齐鲁护理杂志,2016,22(10):112-113.