2023年2月第30卷第2期PDCA循环管理模式在初产妇中的应用及对会阴侧切的预防价值分析雷鸣，王淑豫（南阳市第一人民医院产房，河南南阳473000）【摘要】目的探讨PDCA循环管理模式预防初产妇会阴侧切的价值。方法100例初产妇随机分为两组，对照组予以常规护理，观察组在对照组基础上予以PDCA循环管理模式护理，比较两组的会阴裂伤率、会阴侧切率、新生儿窒息率及护理满意度。结果观察组的会阴裂伤率为6.00%，低于对照组的20.00%（P＜0.05）。观察组的会阴侧切率为50.00%，低于对照组的74.00%（P＜0.05）。观察组的新生儿窒息率为6.00%，低于对照组的22.00%（P＜0.05）。观察组的护理满意度为94.00%，高于对照组的80.00%（P＜0.05）。结论PDCA循环管理模式可以降低初产妇分娩时的会阴侧切率，减少会阴裂伤和新生儿窒息率，提升护理满意度。【关键词】PDCA循环管理模式；初产妇；会阴侧切；预防中图分类号：R473.71文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0237AnalysisontheApplicationofPDCACycleManagementModeinPrimiparaeandItsPreventiveValueforEpisiotomyLEIMing,WANGShuyu(DeliveryRoom,NanyangFirstPeople'sHospital,Nanyang473000,China)[Abstract]ObjectiveToexplorethevalueofPDCAcyclemanagementmodeinpreventionofepisiotomyinprimiparae.MethodsAtotalof100casesofprimiparaewererandomlydividedintotwogroups.Thecontrolgroupreceivedroutinenursing,andtheobservationgroupreceivednursingofPDCAcyclemanagementmodeonthebasisofthecontrolgroup.Theperineallacerationrate,episiotomyrate,neonatalasphyxiarateandnursingsatisfactiondegreewerecomparedbetweenthetwogroups.ResultsTheperineallacerationrateoftheobservationgroupwas6.00%,lowerthan20.00%ofthecontrolgroup(P<0.05).Theepisiotomyrateoftheobservationgroupwas50.00%,lowerthan74.00%ofthecontrolgroup(P<0.05).Theneonatalasphyxiarateoftheobservationgroupwas6.00%,lowerthan22.00%ofthecontrolgroup(P<0.05).Thenursingsatisfactiondegreeoftheobservationgroupwas94.00%,higherthan80.00%ofthecontrolgroup(P<0.05).ConclusionsPDCAcyclemanagementmodecanreducetheepisiotomyrateofprimiparaeduringdelivery,reducetheratesofperineallacerationandneonatalasphyxia,andimprovenursingsatisfactiondegree.[Keywords]PDCAcyclemanagementmode;Pri...
