基于循环质控理念的护理风险管理降低剖宫产手术切口愈合不良的效果分析

Effect of nursing risk management basing on concept of circulation quality control in decreasing poor incision healing after cesarean section

目的 探讨基于循环质控理念的护理风险管理降低剖宫产手术切口愈合不良的效果.方法 回顾性分析2014年9月—2016年8月行剖宫产术200名产妇的临床资料,根据护理措施不同将其分为风险管理组和常规组各100名.常规组产妇接受常规护理干预,风险管理组产妇在此基础上接受基于循环质控理念的护理风险管理.采用焦虑自评量表（SAS）评估两组产妇入院时、干预后1 d、干预后3 d及出院前1 d的焦虑状态,采用自制《妇产科患者护理满意量表》评估护理满意度,统计分析所有产妇手术切口愈合不良情况.结果 风险管理组产妇手术切口愈合不良总发生率为5.00%,低于常规组的13.00%,差异有统计学意义（χ2=3.91,P〈0.05）;风险管理组产妇护理干预后1、3 d及出院前1 d SAS评分明显低于常规组,差异有统计学意义（P〈0.05）;风险管理组产妇护理满意度高于常规组,差异有统计学意义（P〈0.05）.结论 对行剖宫产产妇实施基于循环质控理念的护理风险管理能有效降低手术切口愈合不良的发生率,缓解患者不良情绪状态,同时提高患者对护理的满意度.

Objective To explore the effect of nursing risk management basing on concept of circulation quality control in decreasing poor incision healing after cesarean section.Methods Two-hundred puerperae who received cesarean section from September 2014 to August 2016, and whose clinical data were analyzed retrospectively, were divided into risk management group and conventional group according to nursing measures, each with 100 cases. Conventional nursing intervention was conducted to puerperae in the conventional group, while besides that, puerperae in the risk management group were taken care of under the nursing risk management basing on the concept of circulation quality control. Anxiety status of puerperae in the two groups were evaluated, with the self-rating anxiety scale （SAS） , at admission to the hospital, 1 day after intervention, 3 days after intervention and 1 day before leaving hospital. Satisfaction towards nursing was evaluated by a self-designed scale of patients＇ satisfaction towards nursing in department of gynecology and obstetrics. Incidence of poor incision healing of all puerperae were statistically analyzed.Results Total incidence rate of poor incision healing in the risk management group was 5.00%, lower than 13.00% in the conventional group （χ2=3.91, P〈0.05）; SAS scores of puerperae in the risk management group at 1 day, 3 days after intervention, and 1 day before leaving hospital were significantly lower than that in the conventional group （P〈0.05）; satisfaction towards nursing in the risk management groups was significantly higher than that in the conventional group （P〈0.05）.Conclusions Conducting nursing risk management basing on concept of circulation quality control to puerperae after cesarean section can effectively reduce incidence rate of poor incision healing, relieve the patients＇ bad emotions, and improve their satisfaction towards the nursing care.