品管圈活动在促进肥胖产妇腹部纵切口愈合中的应用

Application of quality control circle activity in promoting the healing of abdominal vertical incision in obese parturient

目的：探讨品管圈活动在促进肥胖产妇腹部纵切口愈合中的临床效果，缩短切口愈合时间。方法选择腹部纵切口剖宫产术后肥胖产妇96例，随机分为观察组和对照组，每组各48例。对照组采用常规产后护理，观察组在此基础上采用品管圈活动进行干预，比较两组首次排气、排便时间、住院时间以及切口感染和脂肪液化等并发症发生率。结果观察组产妇首次排气、排便时间、住院时间分别为（4．6±3．4）h，（12．2±4．8）h，（6．2±2．8）d，分别短于对照组的（13．1±3．9）h，（25．2±5．2）h，（14．3±3.7）d，差异均有统计学意义（t值分别为8．047，12．114，7．492；P＜0．05）。观察组无切口感染和切口裂开发生，仅有1例发生脂肪液化现象，对照组分别有3例切口感染、2例切口裂开、3例脂肪液化，两组并发症发生率比较，差异有统计学意义（χ2＝13．207，P＜0．05）。结论品管圈活动可提高护理质量，缩短产妇首次排气、排便时间和住院时间，减少术后并发症。

Objective To explore the clinical effect of quality control circle activity in promoting the healing of abdominal vertical incision in obese parturients in order to shorten the time of wound healing . Methods Ninety-six abdominal vertical incisions in obese parturients were chosen and were randomly divided into the control group and the observation group , each with 48 cases.The control group received the routine postnatal nursing , and the observation group received the quality control circle activity on the basis of the routine nursing.The time of first exhaust and defecation , the hospitalization time, and the incidence rates of complication including wound infection and fatty fluidization were compared between two groups .Results The time of first exhaust and defecation , the hospitalization time in the observation group were respectively （4.6 ± 3.4） h, （12.2 ±4.8） h, （6.2 ±2.8） d, which were shorter than （13.1 ±3.9） h, （25.2 ±5.2） h, （14.3 ±3.7） d in the control group, and the differences were statistically significant （ t =8.047,12.114, 7.492, respectively;P〈0.05）.The cases of wound infection , wound dehiscence and fatty fluidization were＆amp;nbsp;respectively zero , zero, one case in the observation group , and were three , two, three cases in the control group, and the difference was found in the incidence rate of complication between two groups （χ2 =13.207,P〈0.05）.Conclusions The quality control circle activity can improve the quality of nursing , and shorten the time of first exhaust and defecation and the hospitalization time , and reduce the incidence of complication .