CAJ | 학술논문

目的探讨PDCA循环在硬膜外分娩镇痛质量管理中的应用。方法我们自2013年6月至2014年1月将PDCA循环应用于硬膜外分娩镇痛管理，进行现状调查分析，采用计划、执行、检查、处理循环，寻找硬膜外分娩镇痛中存在的问题并进行持续质量改进。结果与施行PDCA循环前（2013年4～5月）相比，施行PDCA循环后硬膜外分娩镇痛质量改进明显，疼痛有效控制率、镇痛满意度评分及产妇满意度均明显提高（P＜0.05）。结论 PDCA循环应用于分娩镇痛质量管理，可较好地提高镇痛效果和产妇满意度。
목적탐토PDCA순배재경막외분면진통질량관리중적응용。방법아문자2013년6월지2014년1월장PDCA순배응용우경막외분면진통관리，진행현상조사분석，채용계화、집행、검사、처리순배，심조경막외분면진통중존재적문제병진행지속질량개진。결과여시행PDCA순배전（2013년4～5월）상비，시행PDCA순배후경막외분면진통질량개진명현，동통유효공제솔、진통만의도평분급산부만의도균명현제고（P＜0.05）。결론 PDCA순배응용우분면진통질량관리，가교호지제고진통효과화산부만의도。
Objective To explore the application of PDCA cycle to the quality management of epidural labor analgesia. Methods We applied PDCA cycle to the management of epidural labor analgesia from June, 2013 to January, 2014 and analyzed current situation. With plan, implementation, examination and action, we found out the problems in epidural labor analgesia and improved its quality continuously. Results The valid control rate of labor pain, satisfaction rating of pain-relieving and puerperae' satisfaction had been significantly improved after the application of PDCA cycle. Conclusion The application of PDCA cycle in epidural labor analgesia management could well improve the analgesic effect and patients' satisfaction.