CAJ | 학술논문

目的：探讨应用PDCA循环法实施母婴床旁护理的效果。方法将200名初产妇按照随机数字法分为观察组及对照组，每组各100名，观察组采用PDCA循环管理方法对实施母婴床旁护理的各个环节进行持续性质量管理，对照组实施传统母婴床旁护理模式，比较两组产妇对护理工作的满意度、健康教育知识正确率及新生儿护理技能掌握情况。结果观察组产妇对健康教育的满意人数为92人，明显高于对照组的80人，两组比较，差异有统计学意义（Z＝-2．3911，P＜0．05），观察组其他项目满意人数也高于对照组，但差异无统计学意义（P＞0．05）。观察组产妇对母乳喂养的优点、乳房护理方法、产后营养活动等方面健康知识各项目的掌握正确率分别为95％，97％，96％，明显优于对照组86％，88％，87％，两组比较，差异有统计学意义（χ2值分别为4．710，5．837，5．207，2．445；P＜0．05）。观察组产妇新生儿沐浴、抚触、脐部护理的掌握率分别为90％，92％，90％，明显高于对照组的80％，82％，85％，两组比较差异有统计学意义（χ2值分别为8．37，8．59，7．02；P＜0．01）。结论采用PDCA循环管理方法对实施母婴床旁护理的各个环节进行持续性质量管理，可提高产妇的满意度，有利于产妇掌握健康教育知识和育儿技能。
목적：탐토응용PDCA순배법실시모영상방호리적효과。방법장200명초산부안조수궤수자법분위관찰조급대조조，매조각100명，관찰조채용PDCA순배관리방법대실시모영상방호리적각개배절진행지속성질량관리，대조조실시전통모영상방호리모식，비교량조산부대호리공작적만의도、건강교육지식정학솔급신생인호리기능장악정황。결과관찰조산부대건강교육적만의인수위92인，명현고우대조조적80인，량조비교，차이유통계학의의（Z＝-2．3911，P＜0．05），관찰조기타항목만의인수야고우대조조，단차이무통계학의의（P＞0．05）。관찰조산부대모유위양적우점、유방호리방법、산후영양활동등방면건강지식각항목적장악정학솔분별위95％，97％，96％，명현우우대조조86％，88％，87％，량조비교，차이유통계학의의（χ2치분별위4．710，5．837，5．207，2．445；P＜0．05）。관찰조산부신생인목욕、무촉、제부호리적장악솔분별위90％，92％，90％，명현고우대조조적80％，82％，85％，량조비교차이유통계학의의（χ2치분별위8．37，8．59，7．02；P＜0．01）。결론채용PDCA순배관리방법대실시모영상방호리적각개배절진행지속성질량관리，가제고산부적만의도，유리우산부장악건강교육지식화육인기능。
Objective To investigate the effect of PDCA cycle method on mother-infant bedside nursing.Methods A total of 200 mothers and infants were randomly divided into the observation group and the control group, each with 100 cases.The observation group applied PDCA cycle method for continuous quality management of every aspect of mother-infant bedside nursing , while the control group received conventional nursing.Mothers’ satisfaction, correctness of health education knowledge and grasp of neonatal nursing skills were compared between two groups .Results Ninety-two mothers in the observation group and 80 mothers in the control group were satisfied with health education , with statistically significant difference (Z=-2.391 1, P<0.05).Satisfaction rate on other items was also higher in the observation group than in the control group , but without any statistically significant difference (P>0.05).Mothers’ correct rate of the advantage of breast-feeding, breast nursing methods and postpartum nutrition activities was respectively 95%,97%,96% in the observation group , higher than 86%, 88%, 87% in the control group , and the differences were statistically significant (χ2 =4.710,5.837,5.207,2.445, respectively; P <0.05).Mothers’ grasp rate of neonatal shower, newborn massage, neonatal umbilical nursing was respectively 90%,92%,90% in the observation group, higher than 80%,82%,85%in the control group , with statistically significant differences (χ2 =8.37, 8.59,7.02, respectively;P<0.01).Conclusions PDCA cycle method for continuous quality management of every aspect of mother-infant bedside nursing can improve mothers ’ satisfaction, as well as their health education knowledge and neonatal nursing skills .