品管圈活动干预对肥胖产妇剖宫产术后腹部切口的护理效果

Nursing effect of quality control circle activity intervention for abdominal incision of obese puerperas after cesarean section

目的探讨品管圈(QCC)活动干预对肥胖产妇剖宫术后腹部切口甲级愈合和并发症的护理效果。方法选取本院接受剖宫术的肥胖产妇86例,随机分为对照组和观察组各43例。对照组给予常规产后护理,观察组在常规产后护理基础上开展QCC干预。记录2组产后5、10 d腹部切口甲级愈合率,比较2组切口愈合时间和切口相关并发症情况。结果2组产后5 d腹部切口甲级愈合率比较无统计学差异(P>0.05),观察组产后10 d切口甲级愈合率90.70%高于对照组72.09%(P<0.05),切口愈合时间(7.89±1.65)d短于对照组(8.74±2.03)d(P<0.05);观察组切口相关并发症发生率6.98%显著低于对照组23.26%(P<0.05)。结论常规剖宫产后护理基础上,开展QCC干预能有效促进肥胖产妇腹部切口甲级愈合和缩短切口愈合时间,减少切口相关并发症的发生。

Objective To explore the nursing effect of quality control circle(QCC)activity intervention for class A healing of abdominal incision and complications in obese puerperas after cesarean section.Methods A total of 86 obese pregnant women underwent cesarean section were randomly divided into control group and observation group,with 43 cases in each group.The control group was given routine postpartum care,and the observation group was given QCC intervention on the basis of routine postpartum care.The class A healing rates of abdominal incision on the 5 thand10 thday after delivery were recorded in both groups,and the healing time of incision and incision-related complications were compared between two groups.Results There was no significant difference between the two groups in the class A healing rate of abdominal incision on the 5 thday after delivery(P>0.05).The class A healing rate of abdominal incision on the 10 thday after delivery in the observation group was 90.70%,which was significantly higher than 72.09%in the control group,and the healing time of incision was(7.89±1.65)d in the observation group,which was significantly shorter than(8.74±2.03)d in the control group(P<0.05).The incidence of incision-related complications in the observation group was 6.98%,which was significantly lower than 23.26%in the control group(P<0.05).Conclusion On the basis of routine nursing after cesarean section,QCC intervention can effectively promote the class A healing of abdominal incision and shorten the healing time of incision,and reduce the incidence of incision-related complications.