精准化管理在产房护理风险靶向防控中的应用

Application of Precision Management in Target Control of Nursing Care Risk in Delivery Room

目的:探讨精准化管理在产房护理风险靶向防控中的应用效果。方法:选取2015年9 714例孕产妇接受常规护理为对照组,2016年11 755例孕产妇在常规护理基础上实施精准化靶向管理为研究组,对两组剖宫产率、会阴侧切率、产后出血率、围产儿死亡率、孕产妇满意率、护理质量进行比较,对比实施精准化管理前后不同效果。结果:研究组剖宫产率、会阴侧切率、产后出血率分别为43.3%、20.1%、2.48%,显著低于对照组,差异有统计学意义(P值均<0.01);研究组孕产妇满意率99.1%,显著高于对照组,差异有统计学意义(P值<0.01)。结论:精准化靶向管理的实施,提高了助产人员风险防控意识,有效将产房可能发生的风险消灭在萌芽状态,产房护理质量、提高了孕产妇满意度,保障了母婴安全。

Objective：To explore the effect of precision management in the nursing risk prevention and the control in delivery room.Methods：Approved by the ethics committee,this research selected 9,714 pregnant women that received conventional care in 2015 for the control group,and 11,755 pregnant women in routine care on the basis of the implementation of precision management in 2016 for the experimental group. The two groups were compared in ratios of cesarean section,episiotomy rate,postpartum hemorrhage rate,perinatal mortality,maternal satisfaction. Results：The cesarean section rate,episiotomy rate,postpartum hemorrhage rate in the experimental group was 43.3%,20.1%,2.48%,significantly lower than the control group,the difference was statistically significant（P 〈0.01）;the maternal satisfaction rate in the experimental group was 99.1%,significantly higher than the control group（84.8%）,the difference was statistically significant（P=〈 0.01）. Conclusion：The implementation of precision management improves the risk prevention consciousness of midwives. To improve the nursing quality of delivery room may improve maternal satisfaction,ensure maternal and child safety.