基于根因分析法制定的链式管理方案在助产中的应用效果

Application Effect of Chain Management Scheme Based on Root Cause Analysis in Midwifery

目的:分析基于根因分析法制定的链式管理方案在助产中的应用效果。方法:选取2021年3月—2023年3月于东莞市横沥医院分娩的产妇103例为研究对象,随机分为对照组(n=52)、试验组(n=51)。分娩期间,对照组接受常规产房护理管理干预,试验组接受基于根因分析法制定的链式管理方案干预。比较两组产房护理工作质量、产房内感染预防措施达成率、产妇产房内感染发生率、产后住院时间、产褥期感染发生率。结果:试验组产房环境清洁、消毒,护理准备,设备、器械表面消毒,无菌操作,助产护理评分高于对照组(P<0.001)。试验组环境准备合格、器械准备合格、手卫生合格、消毒隔离准备及预后介入措施及时达成率高于对照组(P<0.05);试验组产房内感染总发生率低于对照组(P=0.0328);试验组产后住院时间短于对照组,产褥期感染率低于对照组(P<0.05)。结论:基于根因分析法制定的链式管理方案在产房内感染预防护理管理中的应用效果显著,可提高产房护理工作质量,控制产妇产房内相关感染风险,优化产后康复质量。

Objective:To analyze the application effect of chain management scheme based on root cause analysis in midwifery.Methods:A total of one hundred and three women who gave birth in Dongguan Hengli Hospital from March 2021 to March 2023 were selected as the study objects,and randomly divided into control group(n=52)and experimental group(n=51).During delivery,the control group received routine delivery room nursing management intervention,and the experimental group received chain management intervention based on root cause analysis.The quality of nursing work in the delivery room,the rate of infection prevention measures achieved in the delivery room,the incidence of infection in the delivery room,the length of postpartum hospital stay and the incidence of infection in the puerperal period were compared between the two groups.Results:The scores of delivery room environment cleanliness,disinfection,nursing preparation,surface disinfection of equipment and instruments,aseptic operation and midwifery in experimental group were higher than those in control group(P<0.0001);the rates of qualified environmental preparation,qualified instrument preparation,qualified hand hygiene,preparation for disinfection and isolation and timely achievement of prognostic intervention measures in experimental groups were higher than those in control group(P<0.05);the total incidence of intrapartum infection in experimental group was lower than that in control group(P=0.0328);the postpartum hospitalization time of experimental group was shorter than that of control group,and the puerperal infection rate was lower than that of control group(P<0.05).Conclusion:The application of the chain management scheme based on root cause analysis in the management of infection prevention and nursing in the delivery room is remarkable,which can improve the quality of nursing work in the delivery room,control the risk of related infection in the delivery room,and optimize the quality of postpartum rehabilitation.