应用 PDCA 循环法实施母婴床旁护理的效果评价

Effect evaluation of PDCA cycle method on mother-infant bedside nursing

目的：探讨应用PDCA循环法实施母婴床旁护理的效果。方法将200名初产妇按照随机数字法分为观察组及对照组，每组各100名，观察组采用PDCA循环管理方法对实施母婴床旁护理的各个环节进行持续性质量管理，对照组实施传统母婴床旁护理模式，比较两组产妇对护理工作的满意度、健康教育知识正确率及新生儿护理技能掌握情况。结果观察组产妇对健康教育的满意人数为92人，明显高于对照组的80人，两组比较，差异有统计学意义（Z＝-2．3911，P＜0．05），观察组其他项目满意人数也高于对照组，但差异无统计学意义（P＞0．05）。观察组产妇对母乳喂养的优点、乳房护理方法、产后营养活动等方面健康知识各项目的掌握正确率分别为95％，97％，96％，明显优于对照组86％，88％，87％，两组比较，差异有统计学意义（χ2值分别为4．710，5．837，5．207，2．445；P＜0．05）。观察组产妇新生儿沐浴、抚触、脐部护理的掌握率分别为90％，92％，90％，明显高于对照组的80％，82％，85％，两组比较差异有统计学意义（χ2值分别为8．37，8．59，7．02；P＜0．01）。结论采用PDCA循环管理方法对实施母婴床旁护理的各个环节进行持续性质量管理，可提高产妇的满意度，有利于产妇掌握健康教育知识和育儿技能。

Objective To investigate the effect of PDCA cycle method on mother-infant bedside nursing.Methods A total of 200 mothers and infants were randomly divided into the observation group and the control group, each with 100 cases.The observation group applied PDCA cycle method for continuous quality management of every aspect of mother-infant bedside nursing , while the control group received conventional nursing.Mothers’ satisfaction, correctness of health education knowledge and grasp of neonatal nursing skills were compared between two groups .Results Ninety-two mothers in the observation group and 80 mothers in the control group were satisfied with health education , with statistically significant difference （Z=-2.391 1, P0.05）.Mothers’ correct rate of the advantage of breast-feeding, breast nursing methods and postpartum nutrition activities was respectively 95%,97%,96% in the observation group , higher than 86%, 88%, 87% in the control group , and the differences were statistically significant （χ2 =4.710,5.837,5.207,2.445, respectively; P 〈0.05）.Mothers’ grasp rate of neonatal shower, newborn massage, neonatal umbilical nursing was respectively 90%,92%,90% in the observation＆nbsp;group, higher than 80%,82%,85%in the control group , with statistically significant differences （χ2 =8.37, 8.59,7.02, respectively;P〈0.01）.Conclusions PDCA cycle method for continuous quality management of every aspect of mother-infant bedside nursing can improve mothers ’ satisfaction, as well as their health education knowledge and neonatal nursing skills .