品管圈活动对提高阴道分娩新生儿延迟脐带夹紧率的评价

Xinke Huang, Lijun Zuo, Ruihong Chen, Baohua Qiu, Wenfei Liang
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引用次数: 0

摘要

探讨品管圈(QCC)在提高阴道分娩新生儿延迟脐带夹紧率(DCC)中的作用。通过成立QCC小组,对我院2017年阴道分娩新生儿DCC率存在的问题进行调查和诊断,从而制定新的目标和应对措施。然后对数据进行分析和讨论,最后筛选出有效的数据。最后,我们比较了两组情况和数据。根据2017年8 - 11月阴道分娩DCC率及相关母婴结局调查,开展QCC活动后,阴道分娩新生儿DCC率从35.1%上升至82.3%,产程第三期持续时间、新生儿重症监护(NICU)住院率、Apgar评分、产后出血发生率、新生儿窒息与高胆红素血症差异无统计学意义(P < 0.05)。质量控制圈(QCC)活动可有效提高阴道分娩新生儿延迟脐带夹紧率(DCC),且不影响不良母婴结局的发生率。并通过PDCA循环对品管圈活动进行反馈和改进,使其更具科学性和实用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Quality Control Circle Activities in Improving the Delayed Cord Clamp Rate of Newborns Undergoing Vaginal Delivery
Probing into the Quality Control Circle (QCC) activities in improving the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery. By setting up QCC team, to investigate and diagnose the problems of DCC rate of newborns undergoing vaginal delivery in our hospital in 2017, therefore, to draw up our new target and the responding measurement. After that, we analyze and discuss the data, and finally filter the valid data. Finally, we compare the two sets of situations and data. According to the investigation of DCC rate undergoing vaginal delivery and the relative Maternal-and-Infant outcome in August to November in 2017, after setting up QCC activities, it shows the DCC rate of newborns undergoing vaginal delivery has an significant increased, from 35.1% to 82.3%, duration of the Third Stage of Labor, hospitalization rate of Neonatal intensive Care Nursing (NICU), Apgar score, incidence of postpartum hemorrhage, asphyxia neonatorum and hyperbilirubinemia has no statistical sence (P>0.05). The Quality Control Circle (QCC) activities can effectively improve the delayed cord clamp rate (DCC) of newborns undergoing vaginal delivery, without affecting the incidence of undesirable Maternal-and-Infant outcome. And the quality control circle activities can be fed back and improved through the PDCA cycle to make it more scientific and practical.
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