PDCA循环管理方法在农村高危孕产妇管理中的应用效果

Application Effect of PDCA Cycle Management Method in Rural High-Risk Pregnant Women Management

目的:分析PDCA循环管理方法在农村高危孕产妇管理中的应用效果。方法:选取2018年1月-2020年12月邳州市妇幼保健计划生育服务中心辖区诊治的农村高危孕产妇2827例为研究对象,邳州市在2020年1月开始推行PDCA循环管理方法,根据推行时间分为对照组(常规管理,2018年1月-2019年12月)1583例与研究组(PDCA循环管理,2020年1-12月)1244例。对比分析两组的健康行为和保健知识掌握度,观察两组的依从性与不良妊娠结局发生情况。结果:研究组健康行为能力量表评分与保健知识掌握度评分高于对照组,差异有统计学意义(P<0.05)。研究组依从率高于对照组,差异有统计学意义(P<0.05)。研究组不良妊娠结局发生率低于对照组,差异有统计学意义(P<0.05)。结论:PDCA循环管理用于农村高危孕产妇的管理效果良好,对于高危孕产妇健康行为的改善具有促进作用,有利于减少不良妊娠结局的发生。

Objective:To analyze the application effect of PDCA cycle management method in the management of high-risk pregnant women in rural areas.Methods:A total of 2827 high-risk pregnant women in rural areas who were diagnosed and treated in the jurisdiction of Pizhou Maternal and Child Health and Family Planning Service Center from January 2018 to December 2020 were selected as the study subjects.Pizhou city began to implement PDCA cycle management method in January 2020,and according to the implementation time,they were divided into control group(routine management,from January 2018 to December 2019,n=1583)and study group(PDCA cycle management,from January 2020 to December 2020,n=1244).Health behaviors and health knowledge mastery of the two groups were compared and analyzed,and compliance and adverse pregnancy outcomes of the two groups were observed.Results:The scores of Health Promotion Lifestyle Profile(HPLP)and health knowledge mastery in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The compliance rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse pregnancy outcomes in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:PDCA cycle management has a good effect on the management of high-risk pregnant women in rural areas,which can promote the improvement of health behaviors of high-risk pregnant women and reduce the occurrence of adverse pregnancy outcomes.