Application of PDCA Quality Management Combined with Hospital Quality Control System in Doula Delivery of Primipara / 沈阳医学院学报

ABSTRACT

Objective:To explore the application effect of PDCA quality management combined with hospital quality control system in Doula delivery of primipara.Methods:Our hospital started to implement the quality management model of PDCA from Jul 2014. According to the different nursing management methods, primipara were divided into treatment group and control group. Primipara in control group from Jan 2013 to Jun 2014 received the traditional nursing mode,primipara in the treatment group from Jul 2014 to Sep 2015 received PDCA quality management combined with hospital quality control system in Doula delivery.Nursing satisfaction, the production process of the status, mode of delivery, postpartum hemorrhage, neonatal outcome were compared between the two groups.Results:In the treatment group,the first,second,third and the total labor time were significantly shorter than that in the control group (P<0??05).The probability of natural childbirth way in the treatment group was significantly higher than that in the control group,postpartum hemorrhage amount was significantly less than that in the control group (P<0??05),the rate of neonatal asphyxia was significantly lower than that in the control group,Apgar score was significantly higher than that in the control group (P<0??05). Nursing satisfaction in the treatment group was higher than that in the control group (P<0??05). Conclusion:The clinical efficacy of PDCA quality management combined with hospital quality control system in Doula delivery of primipara can be effectively improved,can significantly shorten labor time,and improve the neonatal outcome.