摘要
目的探讨持续质量改进对降低产妇自然分娩后尿潴留发生率的效果。方法本研究为临床观察研究,选取2021年1月至12月于广东省妇幼保健院自然分娩的产妇作为研究对象,其中将产一区3062例产妇作为试验组、产二区3112例产妇作为对照组。试验组产妇年龄(29.52±4.25)岁;会阴伤口情况:无伤口266例,Ⅰ度裂伤2152例,Ⅱ度裂伤、侧切644例。对照组产妇年龄(29.68±4.09)岁;会阴伤口情况:无伤口244例,Ⅰ度裂伤2179例,Ⅱ度裂伤、侧切689例。对照组实施常规尿潴留护理措施,试验组在常规护理基础上给予持续质量改进管理措施。观察试验组及对照组尿潴留发生率、留置尿管率、尿潴留产妇护理单使用规范率,对比改进前后尿潴留发生率、留置尿管率、尿潴留产妇护理单使用规范率。采用χ^(2)检验、秩和检验、独立样本t检验。结果试验组与对照组尿潴留发生率、留置尿管率、尿潴留产妇护理单使用规范率对比差异均有统计学意义[3.20%(98/3062)比4.45%(139/3112),1.40%(43/3062)比2.80%(87/3112),88.78%(87/98)比56.12%(78/139)](χ^(2)=6.702、14.354、29.988,均P<0.05)。改进前后对比发现,产妇尿潴留发生率、留置尿管率、尿潴留产妇护理单使用规范率对比差异均有统计学意义(均P<0.05)。结论持续质量改进能够有效降低产妇自然分娩后尿潴留发生率及提高护理质量水平。
Objective To explore the effect of continuous quality improvement on reducing the incidence of urinary retention after natural childbirth.Methods This study was a clinical observation study.We selected the parturients who gave birth naturally in Guangdong Women's and Children's Hospital from January to December 2021 as the research objects.Among them,3062 parturients in the first delivery area were taken as the experimental group,3112 parturients in the second delivery area were taken as the control group.The maternal age of the experimental group was(29.52±4.25)years old;perineal wound:there were 266 cases of no wound,2152 cases of grade I laceration,and 644 cases of grade II laceration and lateral incision.The maternal age of the control group was(29.68±4.09)years old;perineal wound:there were 244 cases of no wound,2179 cases of grade I laceration,and 689 cases of grade II laceration and lateral incision.The control group was given routine urine retention nursing measures,and the observation group was given continuous quality improvement management measures on the basis of routine nursing.The incidence of urinary retention,the rate of indwelling catheter,and the standardized use rate of nursing sheet in parturients with urinary retention were observed in the experimental group and the control group,and the incidence of urinary retention,the rate of indwelling catheter,and the standardized use rate of nursing sheet in parturients with urinary retention were compared before and after improvement.χ^(2) test,rank sum test,and independent sample t test were used.Results There were statistically significant differences in the incidence of urinary retention,the rate of indwelling catheter,and the standardized use rate of nursing sheet in parturients with urinary retention between the experimental group and the control group[3.20%(98/3062)vs.4.45%(139/3112),1.40%(43/3062)vs.2.80%(87/3112),88.78%(87/98)vs.56.12%(78/139)](χ^(2)=6.702,14.354,and 29.988,all P<0.05).The comparison before and after improvement showed that there were statistically significant differences in the incidence of urinary retention,the rate of indwelling catheter,and the standardized use rate of nursing sheet in parturients with urinary retention(all P<0.05).Conclusion Continuous quality improvement can effectively reduce the incidence of urinary retention after natural childbirth and improve the level of nursing quality.
作者
曾丽玲
庄幼青
饶金
李雪然
Zeng Liling;Zhuang Youqing;Rao Jin;Li Xueran(Department of Obstetrics,Guangdong Women's and Children's Hospital,Guangzhou 510010,China)
出处
《国际医药卫生导报》
2024年第6期1043-1046,共4页
International Medicine and Health Guidance News
基金
广东省医学科学技术研究基金(C2021025)。
关键词
分娩
尿潴留
持续质量改进
管理
护理
Delivery
Urinary retention
Continuous quality improvement
Management
Nursing
