PDCA循环管理对剖宫产产妇术后生理功能恢复及泌乳的影响

Effect of PDCA cycle management on postoperative physiological function recovery and lactation of parturients after cesarean section

目的探讨PDCA循环管理对剖宫产产妇术后生理功能恢复及泌乳影响。方法选取2018年7月~2020年1月江西省妇幼保健院收治的100例剖宫产产妇作为研究对象,按照随机数字表法分为对照组(50例)和观察组(50例)。对照组采用常规护理干预,观察组联合PDCA循环管理,比较两组的泌乳量和生理功能恢复情况。结果两组护理前的生活治疗综合评定问卷(GQOLI-74)躯体功能评分比较,差异无统计学意义(P>0.05);观察组护理14 d后的GQOLI-74躯体功能评分高于对照组;差异有统计学意义(P<0.05)。两组产后72 h的泌乳量高于产后24、48 h,产后48 h泌乳量高于产后24 h,差异均有统计学意义(P<0.05);观察组产后24、48、72 h的泌乳量高于对照组,差异均有统计学意义(P<0.05)。结论PDCA循环管理能促进剖宫产产妇术后生理功能恢复,增加产妇术后泌乳量,临床应用效果较好。

Objective To investigate the effect of plan-do-check action(PDCA)cycle management on postoperative physiological function recovery and lactation of parturients after cesarean section.Methods A total of 100 women underwent cesarean section in Jiangxi Maternal and Child Health Hospital from July 2018 to January 2020 were selected as the research subjects.They were divided into the control group(n=50)and the observation group(n=50)by random number table method.Patients in the control group were given routine nursing intervention,and in the observation group,PDCA cycle management was combined.The lactation volume and physiological function recovery between the two groups were compared.Results There was no significant difference in generic quality of life inventory 74(GQOLI-74)scale score between the two groups before nursing(P>0.05).The observation group had higher physical function scores on the GQOLI-74 scale after 14 days of nursing than that of the control group,and the difference was statistically significant significance(P<0.05).The lactation volume at 72 h after delivery in the two groups was higher than that at 24 and 48 h after delivery,and the lactation value at 48 h after delivery was higher than that at 24 h,and the differences were statistically significant(P<0.05).The lactation volume at 24,48,72 h after delivery in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion PDCA cycle management can promote postoperative physiological function recovery of parturients after cesarean section and increase postoperative lactation volume with satisfactory clinical application effect.