Nursing effect of quality control circle on incision healing of obese puerperas undergoing cesarean section with abdominal longitudinal incision
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摘要:目的 探讨品管圈(QCC)模式对接受腹部纵切口剖宫产术肥胖产妇产后切口愈合的护理效果。方法 选取本院妇产科接受腹部纵切口剖宫产术的100例肥胖产妇, 采用随机数表法分为对照组和观察组，各50例。对照组产后给予常规护理干预，观察组在对照组基础上开展QCC进行护理干预。比较2组产妇产后恢复情况和切口并发症发生情况。结果 观察组首次肛门排气时间、首次排便时间和住院时间均显著短于对照组(P < 0.05);观察组切口愈合延迟率、切口相关并发症发生率显著低于对照组(P < 0.05)。结论 QCC模式护理干预能促进肥胖剖宫产产妇切口愈合和降低并发症发生风险，促进产后恢复和缩短住院时间。Abstract:Objective To explore the nursing effect of quality control circle (QCC) on postpartum wound healing of obese puerperas undergoing cesarean section with abdominal longitudinal incision.Methods A total of 100 obese puerperas who underwent cesarean section with abdominal longitudinal incision were selected and divided into control group and observation group by random number table method, with 50 cases in each group. The control group received routine nursing intervention after delivery, while the observation group carried out QCC activities on the basis of the control group, the recovery and incision complications of the two groups were observed.Results The time to first anal exhaust, time to first defecation and hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P < 0.05). Delay rate of incision healing, incidence of incision-related complications were significantly lower than that of the control group (P < 0.05).Conclusion QCC nursing intervention can promote the healing of incision and reduce the risk of complications, promote postpartum recovery and shorten hospital stay of obese cesarean section women.>Objective To explore the nursing effect of quality control circle (QCC) on postpartum wound healing of obese puerperas undergoing cesarean section with abdominal longitudinal incision.Methods A total of 100 obese puerperas who underwent cesarean section with abdominal longitudinal incision were selected and divided into control group and observation group by random number table method, with 50 cases in each group. The control group received routine nursing intervention after delivery, while the observation group carried out QCC activities on the basis of the control group, the recovery and incision complications of the two groups were observed.Results The time to first anal exhaust, time to first defecation and hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P < 0.05). Delay rate of incision healing, incidence of incision-related complications were significantly lower than that of the control group (P < 0.05).Conclusion QCC nursing intervention can promote the healing of incision and reduce the risk of complications, promote postpartum recovery and shorten hospital stay of obese cesarean section women.
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Keywords:
- longitudinal abdominal incision /
- cesarean section /
- obesity /
- incision healing /
- complications /
- nursing effect
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表 1 2组产妇产后恢复时间比较(x±s)
组别 n 首次肛门排气时间/h 首次下床活动时间/h 住院时间/d 对照组 50 27.02±4.13 29.35±5.74 7.69±1.57 观察组 50 24.31±3.56* 24.04±3.60* 6.83±1.34* 与对照组比较, *P < 0.05。 
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表 2 2组切口愈合延迟和相关并发症发生情况比较[n(%)]
组别 n 切口愈合延迟 切口并发症 感染 裂开 脂肪液化 合计 对照组 50 9(18.00) 3(6.00) 2(4.00) 3(6.00) 8(16.00) 观察组 50 2(4.00)* 1(2.00) 0 1(2.00) 2(4.00)* 与对照组比较, *P < 0.05。
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