持续质量改进对孕产妇顺产质量的影响

Influence of continuous quality improvement on quality of maternal spontaneous labor

目的探讨持续质量改进对孕产妇顺产质量的影响和价值。方法对2012年1～6月产科孕产妇顺产质量进行分析,及时发现问题,针对孕产妇顺产存在的质量问题落实整改措施,持续改进质量,制定妇产科孕产妇顺产护理管理规范,并于2012年7月～2013年1月期间开始实施,评价持续质量改进前后孕产妇顺产质量情况。结果观察组并发症率为1.07%,低于对照组的3.55%,观察组产妇完全依从性为91.47%,高于对照组的48.70%,观察组产妇满意度评分平均(95.1±5.2),高于对照组(82.3±11.2)两组护理质量统比较,差异具有统计学意义(P<0.05)。结论采取持续质量改进,可显著提高孕产妇顺产质量,降低分娩并发症率,提高产妇依从性和满意度。

Objective To discuss the influence and value of continuous quality improvement on quality of maternal spontaneous labor. Methods The quality of maternal spontaneous labor in obstetrics department from January 2012 to June 2012 were analyzed and the problems were found in time. The measures to rectify and reform for the existing quality problems of maternal spontaneous labor were implemented and the continuous quality improvement were carried out.Nursing management specification of maternal spontaneous labor in gynaecology and obstetrics department were formulated and implemented during July 2012 to January 2013. The quality of maternal spontaneous labor before and after continuous quality improvement were evaluated. Results The rate of complications in the observation group（l.07%） was lower than that in the control group（3.55%）.The entirely compliance of maternity patients in the observation group（91.47%） was higher than that in the control group（48.70%）.The average satisfaction score of maternity patients in the observation group（95.1 ± 5.2） was higher than that in the control group（82.3 ± 11.2）. The difference of nursing quality between two groups was significant（P 〈 0.05）. Conclusion Continuous quality improvement can significantly improve the quality of maternal spontaneous labor,reduce the rate of delivery complications,and improve the compliance and satisfaction of maternity patients.